Employer
Burnham Holdings, Inc.
1241 Harrisburg Ave, Lancaster, PA 17604 · EIN 42-1561863 · Jan 1, 2024 to Dec 31, 2024
Plan year 2024
Covered lives: 444
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 $3,172
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Hcc Life Insurance Company | — | 334 | Comp not disclosed Premium $228,126 |
| Medical | Highmark | — | 64 | Comp not disclosed Premium $18,810 |
| Vision | Highmark | — | 298 | Comp not disclosed Premium $28,587 |
| Life | Trustmark Insurance Company | Nhung L Phan | 5 | $103 3.3% of $3,165 |
| Life | Trustmark Insurance Company | Corporate Synergies Group Inc | 5 | $56 1.8% of $3,165 |
| Life | Prudential Insurance Company Of America | Img | 326 | $78 0.0% of $215,848 |
| Critical Illness & Accident | American Heritage Life Insurance Company | Phan Nhung Le | 19 | $660 6.5% of $10,231 |
| Critical Illness & Accident | American Heritage Life Insurance Company | Corporate Synergies Group Inc | 19 | $300 2.9% of $10,231 |
| Critical Illness & Accident | American Heritage Life Insurance Company | Phan Nhung Le | 4 | $158 6.3% of $2,492 |
| Critical Illness & Accident | American Heritage Life Insurance Company | Corporate Synergies Group Inc | 4 | $71 2.8% of $2,492 |
| Other | Trustmark Insurance Company | Nhung Phan | 18 | $166 3.1% of $5,279 |
| Other | Trustmark Insurance Company | Corporate Synergies Group Inc | 18 | $98 1.9% of $5,279 |
| Other | Trustmark Insurance Company | Douglas Lonergan | 18 | $17 0.3% of $5,279 |
| Stop-loss | Hcc Life Insurance Company | — | 285 | Comp not disclosed Premium $194,329 |
| Medical | Highmark | — | 54 | Comp not disclosed Premium $16,024 |
| Vision | Highmark | — | 253 | Comp not disclosed Premium $25,676 |
| Life | Trustmark Insurance Company | Nhung Phan | 5 | $88 3.3% of $2,696 |
| Life | Trustmark Insurance Company | Corporate Synergies Group LLC | 5 | $47 1.7% of $2,696 |
| Life | Prudential Insurance Company Of America | Img | 444 | $79 0.0% of $218,149 |
| Critical Illness & Accident | American Heritage Life Insurance Company | Phan Nhung Le | 17 | $562 6.4% of $8,716 |
| Critical Illness & Accident | American Heritage Life Insurance Company | Corporate Synergies Group LLC | 17 | $255 2.9% of $8,716 |
| Critical Illness & Accident | American Heritage Life Insurance Company | Phan Nhung Le | 3 | $134 6.3% of $2,123 |
| Critical Illness & Accident | American Heritage Life Insurance Company | Corporate Synergies Group LLC | 3 | $60 2.8% of $2,123 |
| Other | Trustmark Insurance Company | Douglas D Lonergan | 16 | $15 0.3% of $4,497 |
| Other | Trustmark Insurance Company | Nhung Phan | 16 | $141 3.1% of $4,497 |
| Other | Trustmark Insurance Company | Corporate Synergies Group LLC | 16 | $84 1.9% of $4,497 |
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.
No Schedule C parties in this year.