Employer
River Rock Academy, Inc.
2124 Ambassador Circle, Lancaster, PA 17603 · EIN 20-2246978 · Jun 1, 2020 to May 31, 2021
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 |
|---|---|---|---|---|
| Medical | Principal Life Insurance Company | — | — | Comp not disclosed Premium $62,547 |
| Vision | National Vision Administrators, LLC | — | — | Comp not disclosed Premium $5,102 |
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 $40,075
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Mcconkey Benefits & Financial Servi | Broker | $19,272 | $159.27 |
| Capital Blue Cross | Admin | $20,803 | $171.93 |