Employer
Zimmerman Industries, Inc.
196 Wabash Road, Ephrata, PA 17522 · EIN 23-1678699 · May 1, 2023 to Apr 30, 2024
Plan year 2023
Covered lives: 30
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 | Optumhealth | — | 30 | Comp not disclosed Premium $168,800 |
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 $19,516
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| The Benecon Group, LLC | Broker | $8,691 | $289.70 |
| Harding-Yost Insurance Associates | Broker | $7,220 | $240.67 |
| Capital Bluecross | Admin | $1,812 | $60.40 |
| Connectcare 3 | Patient Advocate | $1,793 | $59.77 |