Employer
Hamilton Health Center, Inc
110 S 17th Street, Harrisburg, PA 17104 · EIN 23-1858363 · Jan 1, 2024 to Dec 31, 2024
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 $25,010
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Dental + Vision | Capital Advantage Assurance Company | Engle, Hambright & Davies, Inc. | 294 | $6,147 7.0% of $87,818 |
| Life | Unum Life Insurance Company Of America | Engle, Hambright & Davies, Inc. | 263 | $3,029 11.6% of $26,151 |
| AD&D | Unum Life Insurance Company Of America | Engle, Hambright & Davies, Inc. | 80 | $3,592 17.3% of $20,812 |
| Other | Unum Life Insurance Company Of America | Engle, Hambright & Davies, Inc. | 85 | $12,242 17.2% of $71,077 |
| Stop-loss | Optum Health (Unimerica Insurance Company) | — | 168 | Comp not disclosed Premium $569,780 |
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 $116,323
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Engle Hambright & Davies Inc. | Broker | $55,545 | $330.63 |
| The Benecon Group | Broker | $30,702 | $182.75 |
| Capital Bluecross | Carrier | $19,410 | $115.54 |
| Connectcare3, LLC | Patient Advocate | $10,666 | $63.49 |