Employer
The Wolf Organization, LLC
P.O. Box 1267, York, PA 17405 · EIN 23-2437069 · 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 $23,532
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Vision | Highmark | — | 893 | Comp not disclosed Premium $41,858 |
| Life | Life Insurance Company Of North America | — | — | Schedule A not provided |
| AD&D | Life Insurance Company Of North America | — | — | Schedule A not provided |
| Other | The Life Insurance Company Of North America | — | — | Schedule A not provided |
| Stop-loss | Everest Reinsurance Company | — | 417 | Comp not disclosed Premium $1,529,615 |
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 $338,122
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Mcconkey Benefits & Financial Ser | Broker | $17,531 | $19.63 |
| Delta Dental Of Pennsylvania | Admin | $51,112 | $57.24 |
| Mcconkey Benefits & Financial Serv | Broker | $106,094 | $254.42 |
| The Benecon Group | Broker | $19,978 | $47.91 |
| Highmark | Admin | $117,142 | $280.92 |
| Benefitmall | Admin | $26,265 | $62.99 |