Employer
Quality Perforating Inc.
166 Dundaff Street, Carbondale, PA 18407 · EIN 23-3080134 · Mar 1, 2020 to Dec 31, 2020
Plan year 2020
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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.
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Everest Reinsurance Company | — | 23 | Comp not disclosed Premium $82,742 |
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 $21,110
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Cummings Insurance Agency | Broker | $5,750 | $221.15 |
| The Benecon Group, LLC | Broker | $5,424 | $208.62 |
| Meritain Health | Admin | $8,763 | $337.04 |
| Connectcare 3 | Patient Advocate | $1,173 | $45.12 |