Employer
Susquehanna Valley Women'S Health Care, P.C.
694 Good Drive, Lancaster, PA 17601 · EIN 23-1729982 · Jan 1, 2024 to Dec 31, 2024
Plan year 2024
Covered lives: 68
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 | — | 68 | Comp not disclosed Premium $50,214 |
| Stop-loss | Avalon Insurance Company | — | 55 | Comp not disclosed Premium $162,593 |
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 $815,450
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Mcconkey | Broker | $19,601 | $288.25 |
| The Benecon Group, LLC | Broker | $859 | $12.63 |
| Highmark | Admin | $790,986 | $11,632.15 |
| Benefimall | Admin | $4,004 | $58.88 |