Employer
Wood & Myers Oral & Maxillofacial Surgery, P.C.
207 South 32nd Street, Ste 100, Camp Hill, PA 17011 · EIN 23-2896915 · Nov 1, 2024 to Oct 31, 2025
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.
Visible subtotal $11,858
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Avalon Insurance Company | — | — | Comp not disclosed Premium $230,340 |
| Dental | Highmark, Inc. | Christa Ann Klose | 61 | $2,511 10.3% of $24,453 |
| Vision | Vision Benefits Of America | Gunn Mowery, LLC | 39 | $176 5.0% of $3,515 |
| Life | Unum Life Insurance Company Of America | Gunn Mowery, LLC | 70 | $8,734 6.1% of $144,191 |
| AD&D | Unum Life Insurance Company Of America | Gunn Mowery, LLC | 15 | $437 15.0% of $2,916 |
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 $34,451
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Gunn Mowery LLC | Broker | $12,478 | $170.93 |
| The Benecon Group, LLC | Broker | $9,201 | $126.04 |
| Zizzl | Admin | $20,546 | $281.45 |
| Capital Blue Cross | Admin | $-7,774 | $-106.49 |