Employer
Ag-Industrial, Inc.
110 S. Railroad Avenue, New Holland, PA 17557 · EIN 52-1873641 · Dec 1, 2024 to Dec 31, 2024
Plan year 2024
Covered lives: 59
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 | HM Life Insurance Company | — | 51 | Comp not disclosed Premium $22,230 |
| Dental + Vision | Principal Life Insurance Company | — | — | Schedule A not provided |
| Life | American United Life Insurance Company | — | — | Schedule A not provided |
| Legal | Metropolitan Life Insurance Company | — | — | Schedule A not provided |
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 $2,438
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Assured Partners (Central Pa) | Broker | $1,683 | $28.53 |
| The Benecon Group | Broker | $1,497 | $25.37 |
| ConnectCare3 | Patient Advocate | $278 | $4.71 |
| Capital Bluecross | Admin | $-1,020 | $-17.29 |