Employer
Supports Coordination Group LLC
2141 Oregon Pike, Lancaster, PA 17601 · EIN 46-1572983 · Jul 1, 2023 to Jun 30, 2024
Plan year 2023
Covered lives: 77
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 | — | 77 | Comp not disclosed Premium $48,723 |
| Stop-loss | Everest Reinsurance Company | — | — | Comp not disclosed Premium $4,097 |
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 $18,085
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Assured Partners | Broker | $8,052 | $104.57 |
| The Benecon Group | Broker | $4,585 | $59.55 |
| Capital Blue Cross | Carrier | $1,464 | $19.01 |
| ConnectCare3 | Patient Advocate | $1,293 | $16.79 |
| Assured Partners | Broker | $2,691 | $34.95 |