Employer
Compleat Restorations, Inc.
702 Pointview Ave., Ephrata, PA 17522 · EIN 23-2279098 · Jan 1, 2025 to Dec 31, 2025
Plan year 2025
Covered lives: 51
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 $3,856
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Crum & Forster | — | 37 | Comp not disclosed Premium $133,122 |
| Dental | Dental Dental Of Pennsylvania | Engle Hambright & Davies, Inc. | 51 | $1,084 10.0% of $10,837 |
| Vision | Vision Benefits Of America | Engle Hambright & Davies, Inc. | 26 | $182 5.0% of $3,648 |
| Life | American United Life Insurance Company | — | 44 | 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 $40,215
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| The Benecon Group, LLC | Broker | $28,296 | $554.82 |
| Engle Hambright & Davies, Inc. | Broker | $11,919 | $233.71 |