Employer
Regupol America LLC
11 Ritter Way, Lebanon, PA 17042 · EIN 26-1925934 · 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.
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | HM Life Insurance Company | — | 79 | Comp not disclosed Premium $392,432 |
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 $47,900
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Assured Partners (Central Pa) | Broker | $24,462 | $291.21 |
| The Benecon Group | Broker | $18,437 | $219.49 |
| ConnectCare3 | Patient Advocate | $5,001 | $59.54 |