Employer
Tekgard, Inc.
3390 Farmtrail Road, York, PA 17406 · EIN 23-2787665 · Jan 1, 2021 to Dec 31, 2021
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.
Visible subtotal $1,175
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Everest Reinsurance Company | — | — | Comp not disclosed Premium $34,928 |
| Dental | Sun Life Assurance Company Of Canada | Mcconkey Benefits & Financial Servi | 38 | $1,175 7.1% of $16,443 |
| Vision | Vision Benefits Of America | — | — | Schedule A not provided |
| Life | Life Insurance Company Of North America | — | — | Schedule A not provided |
| EAP | Paychex | — | — | 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 $2,691
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Mcconkey Benefits & Financial Servi | Broker | $2,480 | $51.67 |
| The Benecon Group, LLC | Broker | $1,963 | $40.90 |
| Connectcare 3 | Patient Advocate | $408 | $8.50 |
| Capital Blue Cross | Admin | $-2,160 | $-45.00 |