Employer
Garden Spot Electric, Inc.
360 Hostetter Road, Manheim, PA 17545 · EIN 23-1694863 · May 1, 2024 to Apr 30, 2025
Plan year 2024
Covered lives: 32
Schedule A
Direct compensation
Coverage contracts on the filing. If the carrier did not provide Schedule A, the row is listed with that note.
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | HM Life Insurance Company | — | 31 | Comp not disclosed Premium $175,740 |
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 $20,745
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| The Benecon Group, LLC | Broker | $10,987 | $343.34 |
| Engle Hambright & Davies, Inc | Broker | $9,416 | $294.25 |
| Capital Bluecross | Admin | $342 | $10.69 |