Employer
Pdf Inc
83 Ashley Way, Leesport, PA 19533 · EIN 51-0339828 · Jan 1, 2022 to Dec 31, 2022
Plan year 2022
View
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 | — | 65 | Comp not disclosed Premium $261,841 |
| Life | Texas Life Insurance Company | — | — | Schedule A not provided |
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 $53,399
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Power Kunckle Group, Inc | Broker | $26,323 | $306.08 |
| The Benecon Group, LLC | Broker | $18,430 | $214.30 |
| Capital Blue Cross | Admin | $4,616 | $53.67 |
| Connectcare 3 | Patient Advocate | $4,030 | $46.86 |