Employer
Community Action Partnership Of Lancaster County, Inc.
601 S. Queen Street, Lancaster, PA 17608 · EIN 23-1667311 · Jul 1, 2024 to Jun 30, 2025
Plan year 2024
Covered lives: 285
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 $40,073
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | HM Life Insurance Company | — | 212 | Comp not disclosed Premium $1,164,158 |
| Dental | The Guardian Life Insurance Company Of America | James R Nelligan & Associates LLC | 275 | $6,379 5.0% of $127,586 |
| Dental | The Guardian Life Insurance Company Of America | Engle Hambright & Davies, Inc. | 275 | $3,413 2.7% of $127,586 |
| Dental | The Guardian Life Insurance Company Of America | Crawford Associates, Inc. | 275 | $60 0.0% of $127,586 |
| Vision | Vision Benefits Of America | Engle Hambright & Davies, Inc. | 275 | $494 2.9% of $17,012 |
| Life | The Lincoln National Life Insurance Company | Engle Hambright & Davies, Inc. | 285 | $2,604 7.5% of $34,700 |
| Life | The Lincoln National Life Insurance Company | James R Nelligan & Associates LLC | 285 | $2,187 6.3% of $34,700 |
| Other | The Lincoln National Life Insurance Company | Engle Hambright & Davies, Inc. | 283 | $11,363 15.0% of $75,756 |
| Other | The Lincoln National Life Insurance Company | James R Nelligan & Associates LLC | 283 | $4,768 6.3% of $75,756 |
| Other | The Lincoln National Life Insurance Company | Engle Hambright & Davies, Inc. | 283 | $5,404 10.0% of $54,036 |
| Other | The Lincoln National Life Insurance Company | James R Nelligan & Associates LLC | 283 | $3,401 6.3% of $54,036 |
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 $190,787
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| The Benecon Group, LLC | Broker | $120,756 | $423.71 |
| Engle Hambright & Davies, Inc. | Broker | $58,141 | $204.00 |
| Revivehealth, Inc. | Admin | $16,523 | $57.98 |
| ConnectCare3 | Patient Advocate | $13,382 | $46.95 |
| Capital Bluecross | Admin | $-18,015 | $-63.21 |