Employer
Security Risk Advisors Intl, LLC
1600 Market Street, Philadelphia, PA 19103 · EIN 27-3728891 · 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 $17,156
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | HM Life Insurance Company | — | 148 | Comp not disclosed Premium $586,921 |
| Dental + Vision | The Guardian Life Insurance Company | Birch Benefits, LLC | 198 | $14,833 6.0% of $245,675 |
| Dental + Vision | The Guardian Life Insurance Company | Amerihealth Administrators, Inc. | 198 | $2,323 0.9% of $245,675 |
| Employee Assistance Program | Better Help | — | — | 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 $203,022
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Birch Benefits | Broker | $91,900 | $446.12 |
| The Benecon Group LLC | Broker | $27,809 | $135.00 |
| Meritain Health | Admin | $73,664 | $357.59 |
| Conncectcare 3 | Patient Advocate | $9,649 | $46.84 |