Employer
H & H General Excavating Company
660 Old Hanover Road, Spring Grove, PA 17362 · EIN 23-1729746 · Jul 1, 2024 to Jun 30, 2025
Plan year 2024
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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 $7,084
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Dental + Vision | Metropolitan Life Insurance Company | Engle, Hambright & Davies, Inc. | 126 | $4,601 11.7% of $39,391 |
| Dental + Vision | Metropolitan Life Insurance Company | Gis Benefits Inc | 126 | $2,447 6.2% of $39,391 |
| Dental + Vision | Metropolitan Life Insurance Company | Assured Partners (Central Pa) | 126 | $36 0.1% of $39,391 |
| Stop-loss | Avalon Insurance Company | — | 77 | Comp not disclosed Premium $328,785 |
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 $28,627
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Engle-Hambright & Davies, Inc. | Broker | $35,549 | $413.36 |
| The Benecon Group | Broker | $26,138 | $303.93 |
| Capital Bluecross | Admin. | $-33,060 | $-384.42 |