Employer
Viking Tool & Gage, Inc.
11210 State Highway 18, Conneaut Lake, PA 16316 · EIN 25-1391379 · 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 $773 |
| Stop-loss | HM Life Insurance Company | — | 81 | Comp not disclosed Premium $351,868 |
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 $13,235
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| The Benecon Group LLC | Broker | $19,365 | $225.17 |
| Connectcare3 LLC | Patient Advocate | $5,471 | $63.62 |
| Highmark West | Admin | $-11,601 | $-134.90 |