Employer
Videoray LLC
212 East High Street, Pottstown, PA 19464 · EIN 23-3063180 · Jan 1, 2024 to Dec 31, 2024
Plan year 2024
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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.
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Everest Reinsurance Company | — | — | Comp not disclosed Premium $845 |
| Stop-loss | HM Life Insurance Company | — | 68 | Comp not disclosed Premium $227,509 |
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 $57,272
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Tompkins Insurance | Broker | $21,734 | $319.62 |
| The Benecon Group, LLC | Brioker | $18,938 | $278.50 |
| Meritain Health | Admin | $12,543 | $184.46 |
| ConnectCare3 | Patient Advocate | $4,057 | $59.66 |