Employer
D F Stauffer Biscuit Co Inc
360 Belmont Street, York, PA 17403 · EIN 23-1341694 · Jan 1, 2024 to Dec 31, 2024
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 $44,035
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Optum Health (Unimerica Insurance Company) | — | 427 | Comp not disclosed Premium $1,673,432 |
| Dental | Delta Dental Of Pennsylvania | Engle, Hambright & Davies, Inc. | 793 | $6,753 3.0% of $225,245 |
| Vision | Vision Benefits Of America | Engle, Hambright & Davies, Inc. | 489 | $1,833 7.2% of $25,545 |
| Life | Equitable Financial Life Insurance Company Of America | Engle, Hambright & Davies, Inc. | 579 | $23,633 10.9% of $217,802 |
| Life | Equitable Financial Life Insurance Company Of America | James R Nelligan & Associates | 579 | $11,816 5.4% of $217,802 |
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 $65,824
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Engle Hambright & Davies, Inc. | Broker | $77,196 | $97.35 |
| The Benecon Group, LLC | Broker | $64,897 | $81.84 |
| Connectcare 3 | Other | $22,577 | $28.47 |
| Capital Bluecross | Admin | $-98,846 | $-124.65 |