Employer
Godfrey Advertising Inc.
40 N. Christian St, Lancaster, PA 17602 · EIN 23-3020393 · Jan 1, 2025 to Dec 31, 2025
Plan year 2025
Covered lives: 58
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 $4,924
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Optum Health (Unimerica Insurance Company) | — | — | Comp not disclosed Premium $234 |
| Stop-loss | Crum & Forster | — | 34 | Comp not disclosed Premium $160,797 |
| Dental | Reliance Matrix | Brown & Brown Of Pa, Lp | 51 | $1,683 10.0% of $16,825 |
| Vision | Capital Advantage Assurance Company | Brown & Brown Of Pennsylvania | 58 | $141 4.0% of $3,533 |
| Life | Reliance Standard | Brown & Brown Of Pa, Lp | 49 | $1,872 15.0% of $12,477 |
| AD&D | Reliance Standard | Brown & Brown Of Pa, Lp | 38 | $122 15.0% of $815 |
| Other | Reliance Standard | Brown & Brown Of Pa, Lp | 49 | $1,106 15.0% of $7,375 |
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 $50,433
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| The Benecon Group LLC | Broker | $33,547 | $578.40 |
| Brown & Brown (Pa) | Broker | $11,465 | $197.67 |
| Innovu | Broker | $1,888 | $32.55 |
| Capital Blue Cross | Admin | $3,533 | $60.91 |