Employer
Shippensburg Physical Therapy & Sports Medicine, LLC
20 Park Place, Shippensburg, PA 17257 · EIN 20-5652523 · Jan 1, 2024 to Dec 31, 2024
Plan year 2024
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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 | — | — | Comp not disclosed Premium $1,650 |
| Stop-loss | HM Life Insurance Company | — | 28 | Comp not disclosed Premium $75,168 |
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 $14,992
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Strickler Agency, Inc. | Broker | $9,270 | $331.07 |
| The Benecon Group | Broker | $7,945 | $283.75 |
| ConnectCare3 | Patient Advocate | $1,735 | $61.96 |
| Capital Bluecross | Admin | $-3,958 | $-141.36 |