Employer
Rice Fruit Company
2760 Carlisle Rd, Gardners, PA 17324 · EIN 23-1474131 · Jan 1, 2025 to Dec 31, 2025
Plan year 2025
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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 $11,956
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Dental | United Concordia Insurance Company | Benefit Connections, Inc. | 157 | $6,003 9.8% of $61,133 |
| Vision | National Vision Administrators, LLC (Fsl) | Benefit Connections, Inc. | 142 | $473 5.0% of $9,456 |
| Life | Renaissance Life & Health Insurance Company Of America | Benefit Connections, Inc. | 93 | $5,480 11.5% of $47,508 |
| Stop-loss | HM Life Insurance Company | — | 49 | Comp not disclosed Premium $339,403 |
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 $77,407
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| The Benecon Group | Broker | $58,825 | $1,200.51 |
| Benefit Connections Inc. | Broker | $22,268 | $454.45 |
| Revivehealth, Inc. | Other | $7,618 | $155.47 |
| Highmark Blue Shield (Central) | Admin | $-11,304 | $-230.69 |