Employer
Ss Industries, LLC
105 G.P. Clement Drive, Collegeville, PA 19426 · EIN 26-3304698 · Jan 1, 2020 to Dec 31, 2020
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.
Visible subtotal $2,397
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Dental | Standard Insurance Company | Assured Partners (Central Pa) | 73 | $1,410 3.7% of $38,271 |
| Vision | Standard Insurance Company | Assured Partners (Central Pa) | 56 | $303 3.5% of $8,616 |
| Life | Principal Life Insurance Company | Insurance Partners Agency Inc. | 147 | $684 12.9% of $5,311 |
| Stop-loss | Everest Reinsurance Company | — | 82 | Comp not disclosed Premium $182,469 |
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 $95,648
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Assuredpartners Capital, Inc. DBA A | Broker | $36,285 | $442.50 |
| The Benecon Group | Broker | $15,983 | $194.91 |
| Independence Administrators | Admin | $38,866 | $473.98 |
| Connectcare 3 | Patient Advocate | $4,514 | $55.05 |