Employer
Hendrix-Isa LLC
621 Stevens Road, Ephrata, PA 17522 · EIN 35-2523757 · Jun 1, 2024 to May 31, 2025
Plan year 2024
Covered lives: 241
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 $34,253
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Highmark, Inc. | Patrick Moran | 207 | $503 0.0% of $1,503,955 |
| Medical | Highmark, Inc. | Alera Group, Inc. | 207 | $252 0.0% of $1,503,955 |
| Dental | Principal Life Insurance Company | Ingroup Associates, Inc. | 241 | $20,453 10.8% of $189,210 |
| Dental | Principal Life Insurance Company | Alera Group, Inc. | 241 | $6,969 3.7% of $189,210 |
| Dental | Principal Life Insurance Company | Alera General Agency Ins Svcs | 241 | $6,076 3.2% of $189,210 |
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.