Employer
R.L. Reppert Inc.
4281 Ramer Road, Emmaus, PA 18049 · EIN 23-2182680 · 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 $1,395
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Everest Reinsurance Company | — | — | Comp not disclosed Premium $32,093 |
| Dental | United Concordia Life And Health Insurance Company | Pci Insurance Agency | 17 | $1,287 13.0% of $9,903 |
| Vision | National Vision Administrators, LLC | Pci Insurance Agency | 16 | $108 9.6% of $1,130 |
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 $2,156
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| The Benecon Group | Broker | $2,156 | $58.27 |