Employer
Union Community Care
454 New Holland Road, Lancaster, PA 17602 · EIN 23-1909490 · Jan 1, 2024 to Dec 31, 2024
Plan year 2024
Covered lives: 357
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 $6,493
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Dental + Vision | Standard Insurance Company | Murray Ins Assoc Inc | 357 | $6,493 20.6% of $31,509 |
| Stop-loss | HM Life Insurance Company | — | 245 | Comp not disclosed Premium $830,817 |
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 $139,917
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Assuredpartners (Central Pa) | Broker | $90,792 | $370.58 |
| The Benecon Group | Broker | $44,705 | $182.47 |
| ConnectCare3 | Patient Advocate | $15,020 | $61.31 |
| Capital Bluecross | Claims Administrator | $-10,600 | $-43.27 |