Employer
Clark Service Group, Inc.
3019 Hempland Road, Lancaster, PA 17601 · EIN 81-4314550 · Jan 1, 2025 to Dec 31, 2025
Plan year 2025
Covered lives: 290
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 $16,518
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Hcc Life Insurance Company | — | 128 | Comp not disclosed Premium $257,920 |
| Dental + Vision | Metropolitan Life Insurance Company | Ap Benefit Advisors LLC | 290 | $12,999 9.2% of $141,897 |
| Dental + Vision | Metropolitan Life Insurance Company | Patriot Growth Insurance Services | 290 | $2,489 1.8% of $141,897 |
| Dental + Vision | Metropolitan Life Insurance Company | Ap Benefit Advisors DBA Crawford Ad | 290 | $995 0.7% of $141,897 |
| Dental + Vision | Metropolitan Life Insurance Company | Ap Benefit Advisors DBA Assured Par | 290 | $35 0.0% of $141,897 |
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.