Employer
Boose Aluminum Foundry Co Inc
77 North Reamstown Road, Stevens, PA 17578 · EIN 23-1279703 · Jan 1, 2025 to Dec 31, 2025
Plan year 2025
Covered lives: 56
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 |
|---|---|---|---|---|
| Stop-loss | HM Life Insurance Company | — | 54 | Comp not disclosed Premium $270,474 |
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 $81,765
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| The Benecon Group | Broker | $52,051 | $929.48 |
| Engle Hambright & Davies | Broker | $20,892 | $373.07 |
| Revivehealth, Inc. | Other | $8,567 | $152.98 |
| Highmark Blue Shield (Central) | Admin | $255 | $4.55 |