Employer
Benton Foundry, Inc.
5297 State Rt. 487, Benton, PA 17814 · EIN 24-0837325 · Jan 1, 2025 to Dec 31, 2025
Plan year 2025
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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 $11,769
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Hcc Life Insurance Company | Stealth Partner Group | 169 | $11,465 6.0% of $192,687 |
| Dental + Vision | Capital Advantage Assurance Company | Brown & Brown Of Pennsylvania | 253 | $304 0.5% of $67,194 |
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 $92,210
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Capital Advantage Assurance Company | Admin | $92,210 | $364.47 |