Employer
Elam G. Stoltzfus Jr. Inc.
474 Mt Sidney Rd, Lancaster, PA 17602 · EIN 23-2008636 · Jul 1, 2024 to Jun 30, 2025
Plan year 2024
Covered lives: 83
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 $8,411
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | HM Life Insurance Company | — | 75 | Comp not disclosed Premium $347,021 |
| Dental + Vision | Sun Life Assurance Company Of Canada | Murray Insurance Associates Inc | 83 | $8,411 9.9% of $85,282 |
| EAP | Samaritan Fund | — | — | 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 $32,432
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Assured Partners (Central Pa) | Broker | $28,677 | $345.51 |
| The Benecon Group | Broker | $21,135 | $254.64 |
| Capital Bluecross | Admin | $-17,380 | $-209.40 |