Employer
Yarnell Electric, Inc.
131 Elmwood Road, Lancaster, PA 17602 · EIN 23-2155916 · Dec 1, 2020 to Dec 31, 2020
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.
Visible subtotal $190
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Everest Reinsurance Company | — | 35 | Comp not disclosed Premium $8,586 |
| Life | The Lincoln National Life Insurance Company | Millenium Insurance Group, Inc. | 35 | $60 15.0% of $400 |
| Other | The Lincoln National Life Insurance Company | Millenium Insurance Group, Inc. | 34 | $130 14.0% of $930 |
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 $2,955
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Assured Partners | Broker | $1,155 | $33.00 |
| The Benecon Group, LLC | Broker | $816 | $23.31 |
| Capital Blue Cross | Admin | $805 | $23.00 |
| Connectcare 3 | Patient Advocate | $179 | $5.11 |