Employer
Northeast Agri Systems, Inc.
139 A West Airport Road, Lititz, PA 17543 · EIN 06-1073734 · Jan 1, 2022 to Dec 31, 2022
Plan year 2022
Covered lives: 42
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 $1,410
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Everest Reinsurance Company | — | 38 | Comp not disclosed Premium $151,973 |
| Dental + Vision | Highmark, Inc. | Ap Benefit Advisors LLC | 31 | $1,325 8.8% of $14,978 |
| Life | United Of Omaha Life Insurance Company | Ap Benefits Advisors, LLC | 42 | $15 9.7% of $154 |
| Other | United Of Omaha Life Insurance Company | Ap Benefits Advisors, LLC | 33 | $70 10.0% of $699 |
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 $34,172
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Ap Benefit Advisors (Stoudt) | Broker | $16,128 | $384.00 |
| The Benecon Group, LLC | Broker | $10,943 | $260.55 |
| Highmark | Admin | $4,816 | $114.67 |
| ConnectCare3 | Patient Advocate | $2,285 | $54.40 |