Employer
Occupational Services Inc
17 Redwood Street, Chambersburg, PA 17201 · EIN 23-1507464 · Jul 1, 2024 to Jun 30, 2025
Plan year 2024
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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 $5,245
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | HM Life Insurance Company | — | 26 | Comp not disclosed Premium $174,834 |
| Dental | United Concordia Insurance Company | The Benecon Group, Inc. | 27 | $1,380 11.9% of $11,638 |
| Vision | Capital Advantage Assurance Company | Strickler Agency, Inc. | 28 | $61 4.0% of $1,514 |
| Life | Equitable Financial Life Insurance Company Of America | Strickler Agency, Inc. | 33 | $3,804 14.9% of $25,500 |
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 $23,204
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| The Benecon Group, LLC | Broker | $11,500 | $348.48 |
| Strickler Agency, Inc. | Broker | $10,200 | $309.09 |
| Capital Bluecross | Admin | $1,504 | $45.58 |