Employer
Woodmasters Custom Cabinetry, LLC
204 Rod And Gun Road, Newmanstown, PA 17073 · EIN 27-4565881 · May 1, 2020 to Apr 30, 2021
Plan year 2020
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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 | — | 23 | Comp not disclosed Premium $58,035 |
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 $5,924
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| The Benecon Group | Broker | $3,375 | $146.74 |
| Strickler Ins. Co. | Broker | $768 | $33.39 |
| Capital Blue Cross | Admin | $1,536 | $66.78 |
| Connectcare 3 | Patient Advocate | $245 | $10.65 |