Employer
Teen Challenge Training Center, Inc.
33 Teen Challenge Road, Rehrersburg, PA 19550 · EIN 23-1695361 · Dec 1, 2021 to Nov 30, 2022
Plan year 2021
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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.
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Everest Reinsurance Company | — | 62 | Comp not disclosed Premium $365,580 |
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 $76,830
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Alliant Insurance Services, Inc. | Broker | $33,440 | $434.29 |
| The Benecon Group | Broker | $28,770 | $373.64 |
| Capital Blue Cross | Admin | $9,905 | $128.64 |
| Connectcare 3 | Patient Advocate | $4,715 | $61.23 |