Employer
Ambassador Advisors, LLC
275 Hess Blvd, Lancaster, PA 17601 · EIN 20-0272674 · Jan 1, 2023 to Dec 31, 2023
Plan year 2023
Covered lives: 60
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 $8,679
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Optum Health (Unimerica Insurance Company) | — | 40 | Comp not disclosed Premium $164,481 |
| Stop-loss | Everest Reinsurance Company | — | — | Comp not disclosed Premium $2,202 |
| Dental | Starmount Life Insurance Company | Colonial Park Realty | 31 | $1,525 10.1% of $15,157 |
| Dental | Starmount Life Insurance Company | Gallagher Benefit Services Inc | 31 | $763 5.0% of $15,157 |
| Dental | Starmount Life Insurance Company | Brown & Brown Insurance Service | 31 | $388 2.6% of $15,157 |
| Dental | Starmount Life Insurance Company | Brown & Brown Headquarters | 31 | Comp not disclosed Premium $15,157 |
| Vision | Capital Advantage Assurance Company | Colonial Park Realty | 60 | $114 4.0% of $2,851 |
| Life | Unum Life Insurance Company Of America | Colonial Park Realty | 44 | $2,960 12.7% of $23,350 |
| Life | Unum Life Insurance Company Of America | Emerson Reid LLC | 44 | $1,168 5.0% of $23,350 |
| Life | Unum Life Insurance Company Of America | Gallagher Benefit Services Inc | 44 | $818 3.5% of $23,350 |
| AD&D | Unum Life Insurance Company Of America | Brown & Brown Insurance Service | 15 | $462 15.8% of $2,922 |
| AD&D | Unum Life Insurance Company Of America | Colonial Park Realty DBA Enders Ins | 15 | $361 12.4% of $2,922 |
| AD&D | Unum Life Insurance Company Of America | Gallagher Benefit Services Inc | 15 | $120 4.1% of $2,922 |
| AD&D | Unum Life Insurance Company Of America | Brown & Brown Headquarters | 15 | Comp not disclosed Premium $2,922 |
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 $32,907
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| The Benecon Group | Broker | $13,541 | $225.68 |
| Enders Insurance Associates | Broker | $11,136 | $185.60 |
| Capital Bluecross | Admin | $5,744 | $95.73 |
| ConnectCare3 | Patient Advocate | $2,486 | $41.43 |