Employer
H M Stauffer And Sons Inc
Po Box 567, Leola, PA 17540 · EIN 23-1328238 · Jan 1, 2022 to Oct 31, 2022
Plan year 2022
Covered lives: 172
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 $48,134
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Principal Life Insurance Company | Kistler Tiffany Benefits General Ag | 172 | $6,242 7.6% of $82,384 |
| Medical | Principal Life Insurance Company | Onedigital Premier Services LLC | 172 | $3,818 4.6% of $82,384 |
| Medical | Aetna Life Insurance Company | Kistler Tiffany Benefits General Ag | 127 | $37,746 5.1% of $733,514 |
| Vision | Vision Benefits Of America | Kistler Tiffany Benefits General Ag | 81 | $328 5.0% of $6,552 |
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.
No Schedule C parties in this year.