Employer
Scotts Hauling & Excavating, Inc.
1462 N. Franklin Street, Chambersburg, PA 17202 · EIN 20-4556711 · Jan 1, 2022 to Dec 31, 2022
Plan year 2022
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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 | — | 27 | Comp not disclosed Premium $188,963 |
| Dental + Vision | Amwins | — | — | Schedule A not provided |
| Life | State Farm | — | — | Schedule A not provided |
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 $26,679
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Strickler Agency Inc | Broker | $11,053 | $381.14 |
| The Benecon Group | Broker | $9,179 | $316.52 |
| Capital Blue Cross | Admin | $4,498 | $155.10 |
| Connectcare 3 | Patient Advocate | $1,949 | $67.21 |