Employer
Selectrode Industries, Inc.
100 Commerce Way, Aliquippa, PA 15001 · EIN 11-2677850 · Dec 1, 2023 to Nov 30, 2024
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.
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Everest Reinsurance Company | — | 43 | Comp not disclosed Premium $20,689 |
| Stop-loss | HM Life Insurance Company | — | 33 | Comp not disclosed Premium $149,137 |
| Dental | Metropolitan Life Insurance Company | — | — | 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 $30,879
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| First National Insurance Agency | Broker | $14,880 | $346.05 |
| The Benecon Group | Broker | $12,593 | $292.86 |
| Connnectcare3 | Patient Advocate | $2,725 | $63.37 |
| Highmark West | Carrier | $681 | $15.84 |