Employer
Brubacher Excavating Inc
Po Box 528, Bowmansville, PA 17507 · EIN 23-2073860 · Nov 1, 2024 to Oct 31, 2025
Plan year 2024
Covered lives: 435
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 $20,269
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Tokio Marine Hcc | — | 219 | Comp not disclosed Premium $721,868 |
| Dental | The Guardian Life Insurance Company Of America | — | 228 | Comp not disclosed Premium $183,219 |
| Vision | Heartland | Emerson Rogers LLC | 435 | $906 5.0% of $18,121 |
| Life | Life Insurance Company Of North America | — | 228 | Schedule A not provided |
| Life | Life Insurance Company Of North America | — | 228 | Schedule A not provided |
| Life | Life Insurance Company Of North America | — | 228 | Schedule A not provided |
| Life | Life Insurance Company Of North America | — | 228 | Schedule A not provided |
| Legal | Pre-Paid Legal Services Inc, DBA Legalshield | David Spangler Jr | 64 | $838 4.1% of $20,314 |
| Legal | Pre-Paid Legal Services Inc, DBA Legalshield | Kimberly A Woods | 64 | $582 2.9% of $20,314 |
| Legal | Pre-Paid Legal Services Inc, DBA Legalshield | Murray Ins | 64 | $61 0.3% of $20,314 |
| Employee Assistance Program | Personal Assistance Services | — | 398 | Comp not disclosed Premium $11,086 |
| Other | Life Insurance Company Of North America | — | 228 | Schedule A not provided |
| Other | Life Insurance Company Of North America | — | 228 | Schedule A not provided |
| Other | Life Insurance Company Of North America | — | 228 | Schedule A not provided |
| Other | Life Insurance Company Of North America | — | 228 | 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 $240,405
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Allied Benefit Systems | Admin | $213,562 | $490.95 |
| Mckonly & Asbury | Auditor | $11,284 | $25.94 |
| Ebenefit Marketplace, LLC | Emp Ben Tech Solutions | $10,351 | $23.80 |
| Pareto Health | Health Care Captive | $5,208 | $11.97 |