Employer
Zook Interiors, LLC
940 Pointview Ave., Ephrata, PA 17522 · EIN 20-0546829 · Sep 1, 2024 to Aug 31, 2025
Plan year 2024
Covered lives: 45
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 | Optum Health (Unimerica Insurance Company) | — | — | Comp not disclosed Premium $129,708 |
| Stop-loss | Crum & Forster | — | 45 | Comp not disclosed Premium $241,138 |
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 $67,305
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| The Benecon Group | Broker | $48,264 | $1,072.53 |
| Harding-Yost Insurance | Broker | $13,256 | $294.58 |
| Revivehealth, Inc. | Admin | $4,615 | $102.56 |
| Capital Blue Cross | Admin | $1,170 | $26.00 |