Employer
Tomlinson-Bomberger Lawn Care & Landscape, Inc.
3055 Yellow Goose Road, Lancaster, PA 17601 · EIN 23-2255122 · Aug 1, 2023 to Jul 31, 2024
Plan year 2023
Covered lives: 41
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 | — | — | Comp not disclosed Premium $338 |
| Stop-loss | HM Life Insurance Company | — | — | Comp not disclosed Premium $99,521 |
| Dental | Principal Life Insurance Company | — | — | Schedule A not provided |
| EAP | Samaritan Counseling Center | — | — | 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 $25,586
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| E. K. Mcconkey & Co., Inc. | Broker | $14,020 | $341.95 |
| The Benecon Group, LLC | Broker | $7,576 | $184.78 |
| ConnectCare3 | Patient Advocate | $2,058 | $50.20 |
| Capital Blue Cross | Admin | $1,932 | $47.12 |