Employer
Fulton Financial Corporation
Po Box 4887, One Penn Square, Lancaster, PA 17604 · EIN 23-2195389 · Jan 1, 2024 to Dec 31, 2024
Plan year 2024
Covered lives: 3861
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 $378,532
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Highmark, Inc. | — | 3861 | Comp not disclosed Premium $191,061 |
| Vision | Vision Service Plan | — | 2577 | Comp not disclosed Premium $341,476 |
| Life | The Lincoln National Life Insurance Company | Ap Benefit Advisors, LLC | 3488 | $67,806 11.8% of $574,453 |
| Life | The Lincoln National Life Insurance Company | Gis Benefits Inc | 3488 | $10,277 1.8% of $574,453 |
| AD&D | The Lincoln National Life Insurance Company | Ap Benefit Advisors, LLC | 126 | $3,679 21.4% of $17,185 |
| AD&D | The Lincoln National Life Insurance Company | Gis Benefits Inc | 126 | $336 2.0% of $17,185 |
| Critical Illness | The Lincoln National Life Insurance Company | Ap Benefit Advisors, LLC | 477 | $49,246 28.1% of $175,318 |
| Critical Illness | The Lincoln National Life Insurance Company | Gis Benefits Inc | 477 | $4,016 2.3% of $175,318 |
| Accident | The Lincoln National Life Insurance Company | Ap Benefit Advisors, LLC | 475 | $31,764 28.0% of $113,388 |
| Accident | The Lincoln National Life Insurance Company | Gis Benefits Inc | 475 | $2,603 2.3% of $113,388 |
| Other | The Lincoln National Life Insurance Company | Ap Benefit Advisors, LLC | 3449 | $60,267 11.5% of $524,165 |
| Other | The Lincoln National Life Insurance Company | Gis Benefits Inc | 3449 | $8,036 1.5% of $524,165 |
| Vol. Life, Vol. Spouse Life, Vol. Child Life | The Lincoln National Life Insurance Company | Ap Benefit Advisors, LLC | 965 | $128,453 20.0% of $643,178 |
| Vol. Life, Vol. Spouse Life, Vol. Child Life | The Lincoln National Life Insurance Company | Gis Benefits Inc | 965 | $12,049 1.9% of $643,178 |
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 $2,321,013
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Highmark | Med/Rx Admin Fees | $1,548,265 | $401.00 |
| Ap Benefit Advisors, LLC | Cobra/Fsa/ Benefit Admin | $206,692 | $53.53 |
| United Concordia | Dental Admin | $188,381 | $48.79 |
| Sedgwick Claims Management Services | Std Aso | $174,702 | $45.25 |
| Carebridge Corporation | Eap | $73,891 | $19.14 |
| Bdo Usa, LLC | Auditor/Accountant | $65,343 | $16.92 |
| Vision Service Plan | Vision Admin Fees | $47,807 | $12.38 |
| Highmark | Fsa Admin | $15,932 | $4.13 |