Employer
New Hope Ministries, Inc.
99 West Church Street, Dillsburg, PA 17019 · EIN 23-2223120 · Jan 1, 2022 to Dec 31, 2022
Plan year 2022
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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 $3,779
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Everest Reinsurance Company | — | 25 | Comp not disclosed Premium $141,302 |
| Dental | United Concordia Insurance Company | Benefit Connections, Inc. | 26 | $1,414 10.0% of $14,082 |
| Vision | Ngl | Benefit Connections, Inc. | 26 | $250 10.0% of $2,496 |
| Life | Renaissance Life & Health Insurance Company Of America | Benefit Connections, Inc. | 32 | $2,115 16.1% of $13,126 |
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 $17,050
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Benefit Connections, Inc. | Broker | $7,050 | $220.31 |
| The Benecon Group | Broker | $6,956 | $217.38 |
| Capital Blue Cross | Admin | $1,692 | $52.88 |
| Connectcare 3 | Patient Advocate | $1,352 | $42.25 |