Employer
Pennsylvania Gastroenterology Consultants, P.C.
899 Poplar Church Road, Camp Hill, PA 17011 · EIN 23-2028596 · Jun 1, 2024 to May 31, 2025
Plan year 2024
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.
Visible subtotal $1,576
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Everest Reinsurance Company | — | — | Comp not disclosed Premium $955 |
| Stop-loss | Avalon Insurance Company | — | 24 | Comp not disclosed Premium $279,863 |
| Dental | Delta Dental Of Pennsylvania | Gunn Mowery, LLC | 49 | $1,417 10.0% of $14,166 |
| Vision | National Vision Administrators, L.L.C. (Ngl) | Gunn Mowery, LLC | 43 | $159 5.0% of $3,172 |
| Life | The Paul Revere 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 $17,071
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Gunn-Mowery | Broker | $9,296 | $189.71 |
| The Benecon Group, LLC | Broker | $6,376 | $130.12 |
| ConnectCare3 | Patient Advocate | $1,411 | $28.80 |
| Capital Blue Cross | Admin | $-12 | $-0.24 |