Employer
Mountain Valley Orthopedics, P.C.
600 Plaza Court, Suite C, East Stroudsburg, PA 18301 · EIN 22-3102230 · Jan 1, 2025 to Dec 31, 2025
Plan year 2025
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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.
Visible subtotal $1,026
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | HM Life Insurance Company | — | 13 | Comp not disclosed Premium $85,106 |
| Dental | United Concordia Insurance Company | — | 60 | Schedule A not provided |
| Dental | United Concordia Insurance Company | — | 60 | Schedule A not provided |
| Vision | Highmark, Inc | Healey, Colin | 24 | $720 35.6% of $2,022 |
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 $30,888
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| The Benecon Group, LLC | Broker | $15,334 | $255.57 |
| C3 Group, LLC | Broker | $4,690 | $78.17 |
| Highmark Bcbs Nepa | Admin | $7,772 | $129.53 |
| Highmark Blue Shield (Central) | Admin. | $3,092 | $51.53 |