Employer
Swartz Supply Co., Inc.
5550 Allentown Blvd., Harrisburg, PA 17112 · EIN 23-1581476 · 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.
Visible subtotal $115
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | HM Life Insurance Company | — | 34 | Comp not disclosed Premium $104,411 |
| Vision | Fsl | Brown & Brown Of Pennsylvania | 24 | $58 2.5% of $2,300 |
| Vision | Fsl | Brown & Brown Insurance Services | 24 | $57 2.5% of $2,300 |
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 $28,309
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Brown & Brown (Pa) | Broker | $13,875 | $408.09 |
| The Benecon Group | Broker | $9,653 | $283.91 |
| Capital Bluecross | Admin | $2,673 | $78.62 |
| ConnectCare3 | Patient Advocate | $2,108 | $62.00 |