Employer
Atlantic Solutions Group, Inc. DBA Empire Workforce Solutions
27 W Lemon Street, Lancaster, PA 17603 · EIN 83-2442208 · May 1, 2022 to Apr 30, 2023
Plan year 2022
Covered lives: 1677
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 $14,111
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Capital Advantage Assurance Company | Acrisure, LLC | 51 | $8,544 1.8% of $466,405 |
| Medical | Capital Advantage Assurance Company | David Adams | 51 | $1,560 0.3% of $466,405 |
| Dental | Metropolitan Life Insurance Company | Acrisure, LLC | 83 | $2,885 6.7% of $43,118 |
| Dental | Metropolitan Life Insurance Company | Acrisure LLC D/B/A Garceau Ins Agen | 83 | $584 1.4% of $43,118 |
| Dental | Metropolitan Life Insurance Company | Richard Bernstein | 83 | $538 1.2% of $43,118 |
| Vision | Vision Service Plan | — | — | Schedule A not provided |
| Vision | Vision Service Plan | — | — | 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.
No Schedule C parties in this year.