Employer
Envision Building Products, LLC
Po Box 37, Mount Joy, PA 17552 · EIN 87-3417955 · Jan 1, 2025 to Dec 31, 2025
Plan year 2025
Covered lives: 267
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 $45,400
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | HM Life Insurance Company | — | 141 | Comp not disclosed Premium $774,639 |
| Dental | Delta Dental Of Pennsylvania | Nfp Corporate Services (Il) | 267 | $7,782 10.0% of $77,816 |
| Vision | Eyemed Vision Care | Nfp Corporate Services - Chicago | 214 | $1,493 10.1% of $14,795 |
| Life | Unum Life Insurance Company Of America | Nfp Corporate Services (Il) | 86 | $8,377 15.8% of $53,187 |
| Life | Unum Life Insurance Company Of America | Nfp Corporate Services (Il) | 194 | $20,703 15.8% of $131,445 |
| Attained Age Critical Illness | Unum Insurance Company | Nfp Corporate Services (Il) | 51 | $2,514 15.7% of $15,962 |
| Other | Unum Life Insurance Company Of America | Nfp Corporate Services (Il) | 53 | $862 10.8% of $8,018 |
| Group Accident | Unum Insurance Company | Nfp Corporate Services (Il) | 55 | $1,653 16.0% of $10,308 |
| Hospital Ee | Unum Insurance Company | Nfp Corporate Services (Il) | 35 | $2,016 15.9% of $12,651 |
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 $242,224
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| The Benecon Group LLC | Broker | $151,767 | $568.42 |
| Nfp Corporate Benefits (Md) | Broker | $46,400 | $173.78 |
| Highmark Blue Shield (Central) | Admin | $44,057 | $165.01 |