Employer
Penn Terminals, LLC.
One Saville Avenue, Eddystone, PA 19022 · EIN 23-2420637 · Jan 1, 2024 to Dec 31, 2024
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 $29,116
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Optum Health Unimerica Insurance Company | — | 186 | Comp not disclosed Premium $1,200,388 |
| Dental | Aetna Life Insurance Co. | Corporate Synergies Group, LLC | 362 | $6,051 4.2% of $143,747 |
| Vision | Vision Benefits Of America | Corporate Synergies Group, LLC | 175 | $1,733 10.0% of $17,330 |
| Life | Standard Insurance Company | Corporate Synergies Group, LLC | 202 | $6,212 10.1% of $61,707 |
| Other | Standard Insurance Company | Corporate Synergies Group, LLC | 234 | $13,038 10.0% of $130,350 |
| Other | Standard Insurance Company | Corporate Synergies Group, LLC | 37 | $2,082 10.0% of $20,817 |
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 $125,184
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| The Benecon Group | Broker | $38,699 | $106.90 |
| Aetna Health Plans | Admin | $73,858 | $204.03 |
| ConnectCare3 | Patient Advocate | $12,627 | $34.88 |