Employer
Telus Agriculture Solutions (Us) Inc. Employee Benefit Plan
911 University Drive, State College, PA 16801 · EIN 85-1406415 · Mar 1, 2020 to Feb 28, 2021
Plan year 2020
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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 $3,452
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Everest Reinsurance Company | — | 39 | Comp not disclosed Premium $96,520 |
| Dental | The Guardian Life Insurance Company | Logical Planning Solutions, Inc. | 35 | $1,488 8.8% of $16,958 |
| Dental | The Guardian Life Insurance Company | Financial Balance Group LLC | 35 | $15 0.1% of $16,958 |
| Vision | Vision Benefits Of America | Central Pa Benefit Solutions | 37 | $222 8.0% of $2,776 |
| Life | American United Life Insurance Company | Central Pa Benefit Solutions | 41 | $1,727 11.7% of $14,782 |
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 $37,210
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Central Pa Benefit Solutions | Broker | $11,237 | $255.39 |
| The Benecon Group | Broker | $11,167 | $253.80 |
| Capital Blue Cross | Admin | $12,447 | $282.89 |
| Connectcare 3 | Patient Advocate | $2,359 | $53.61 |