Employer
Monteverdes Inc.
2 Rutgers Road, Crafton, PA 15205 · EIN 25-1366999 · Jan 1, 2020 to Dec 31, 2020
Plan year 2020
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Schedule A
Direct compensation
Coverage contracts on the filing. If the carrier did not provide Schedule A, the row is listed with that note.
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Everest Reinsurance Company | — | 33 | Comp not disclosed Premium $88,581 |
Schedule C
Additional compensation
Plan-paid amounts to each named party on the filing, with the role they reported. This is not a carrier commission and is not added to Schedule A.
Visible subtotal $36,213
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Coury Health Services LLC | Broker | $10,400 | $266.67 |
| The Benecon Group | Broker | $7,807 | $200.18 |
| Meritain Health | Admin | $15,885 | $407.31 |
| Connectcare 3 | Patient Advocate | $2,121 | $54.38 |