Employer
Star View Transport LLC
684 West Main Street, New Holland, PA 17557 · EIN 20-0438742 · Jun 1, 2023 to May 31, 2024
Plan year 2023
Covered lives: 33
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 | — | 33 | Comp not disclosed Premium $12,786 |
| Medical | Capital Bluecross | — | — | Schedule A not provided |
| Dental + Vision | 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 $2,065
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Engle-Hambright & Davies, Inc. | Broker | $1,089 | $33.00 |
| The Benecon Group | Broker | $801 | $24.27 |
| ConnectCare3 | Patient Advocate | $175 | $5.30 |