Employer
Anna Elizabeth Hospitalities, Inc.
14 E. Main Street, Lititz, PA 17543 · EIN 81-4543689 · Jan 1, 2025 to Dec 31, 2025
Plan year 2025
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 |
|---|---|---|---|---|
| Medical | Principal 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 $1,216
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| The Benecon Group | Broker | $1,216 | $20.61 |