Employer
Eye Associates Of Lancaster, Ltd.
1254 Lititz Pike, Lancaster, PA 17601 · EIN 23-1934764 · Jan 1, 2025 to Dec 31, 2025
Plan year 2025
Covered lives: 37
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 $1,482
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | HM Life Insurance Company | — | 22 | Comp not disclosed Premium $134,247 |
| Dental | United Concordia Life And Health Insurance Company | — | 13 | Schedule A not provided |
| Life | Unum Life Insurance Company Of America | Pci Insurance Agency | 37 | $437 10.0% of $4,371 |
| AD&D | The Guardian Life Insurance Company Of America | — | 27 | 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 $33,398
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| The Benecon Group, LLC | Broker | $25,474 | $688.49 |
| Pci (Pa Chamber Insurance) | Broker | $7,924 | $214.16 |