Employer
The Jay Group, Inc.
700 Indian Springs Drive, Lancater, PA 17601 · EIN 23-1723070 · Jan 1, 2024 to Dec 31, 2024
Plan year 2024
Covered lives: 186
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 $9,993
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Optum Health (Unimerica Insurance Company) | — | 103 | Comp not disclosed Premium $357,080 |
| Vision | Vision Benefits Of America | Ap Benefit Advisors | 99 | $531 5.0% of $10,618 |
| Life | American United Life Insurance Company | Ingroup Associates Inc | 186 | $9,462 8.7% of $108,977 |
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 $78,233
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Assured Partners (Central Pa) | Broker | $25,520 | $137.20 |
| The Benecon Group | Broker | $19,883 | $106.90 |
| Capital Bluecross | Admin | $19,040 | $102.37 |
| ConnectCare3 | Patient Advocate | $6,905 | $37.12 |
| Delta Dental Of Pennsylvania | Admin | $6,885 | $37.02 |