Employer
Pennrose Management Company
1301 North 31st Street, Philadelphia, PA 19121 · EIN 23-2241171 · Jan 1, 2023 to Dec 31, 2023
Plan year 2023
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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 $62,223
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Dental | The Guardian Life Insurance Company Of America | Fairmount Benefits, Inc. | 529 | $52,662 8.9% of $589,162 |
| Dental | The Guardian Life Insurance Company Of America | Amerihealth Administrators, Inc. | 529 | $7,444 1.3% of $589,162 |
| Vision | Vision Service Plan | Fairmount Benefits, Inc. | 340 | $1,245 5.3% of $23,563 |
| Gciee, Grpaccvo | Unum Life Insurance Company Of America | Megro Corporation | 43 | $872 7.3% of $11,920 |
| Stop-loss | HM Life Insurance Company | — | 368 | Comp not disclosed Premium $731,559 |
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 $372,286
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Fairmount Benefits, Inc. | Broker | $121,203 | $329.36 |
| The Benecon Group, LLC | Broker | $57,002 | $154.90 |
| Independant Admnistrators (Ia) | Admin | $174,287 | $473.61 |
| ConnectCare3 | Patient Advocate | $19,794 | $53.79 |