Employer
Atomic Design, Inc.
10 Wynfield Drive, Lititz, PA 17543 · EIN 23-2758268 · Jan 1, 2024 to Dec 31, 2024
Plan year 2024
Covered lives: 198
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 $13,420
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | HM Life Insurance Company | — | 120 | Comp not disclosed Premium $499,174 |
| Dental + Vision | Capital Advantage Assurance Company | Engle-Hambright & Davies, Inc. | 198 | $8,688 10.0% of $86,755 |
| Life | Standard Insurance Company | Engle-Hambright & Davies, Inc. | 131 | $1,401 13.1% of $10,659 |
| Other | Standard Insurance Company | Engle-Hambright & Davies, Inc. | 131 | $3,331 9.2% of $36,263 |
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 $91,637
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Engle-Hambright & Davies Inc. | Broker | $50,524 | $374.25 |
| The Benecon Group | Broker | $28,683 | $212.47 |
| Connectcare 3 | Patient Advocate | $8,099 | $59.99 |
| Capital Bluecross | Admin | $4,331 | $32.08 |