Employer
Buchanan Automotive, Inc.
1035 E Main Street, Waynesboro, PA 17268 · EIN 20-5054809 · Jul 1, 2024 to Jun 30, 2025
Plan year 2024
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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 $6,090
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | HM Life Insurance Company | — | 70 | Comp not disclosed Premium $357,997 |
| Medical | American Fidelity Assurance Company | Pennsylvania Auto Assoc Ins Agy Inc | 51 | $3,451 8.3% of $41,405 |
| Medical | American Fidelity Assurance Company | American Fidelity Assurance Company | 51 | $1,628 3.9% of $41,405 |
| Accident, Cancer, Group Hi/Gap | American Fidelity Assurance Company | Pennsylvania Auto Assoc Ins Agy Inc | 22 | $2,069 8.5% of $24,212 |
| Accident, Cancer, Group Hi/Gap | American Fidelity Assurance Company | American Fidelity Assurance Company | 22 | $-1,058 -4.4% of $24,212 |
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 $38,597
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| The Benecon Group | Broker | $25,147 | $289.05 |
| Commonwealth Benefits Group | Broker | $5,040 | $57.93 |
| Mpb Risk Services, LLC | Admin | $27,108 | $311.59 |
| Capital Bluecross | Admin | $-18,698 | $-214.92 |