Employer
Hummock Holdings, Inc.
1069 Stinson Drive, Reading, PA 19605 · EIN 82-1092957 · Oct 1, 2023 to Sep 30, 2024
Plan year 2023
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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 $4,306
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Optum Health Unimerica Insurance Company | — | 58 | Comp not disclosed Premium $80,553 |
| Medical | Equitable Financial Life Insurance Company Of America | Engle, Hambright & Davies, Inc. | 76 | $2,929 14.7% of $19,921 |
| Medical | Equitable Financial Life Insurance Company Of America | James R Nelligan & Associates | 76 | $102 0.5% of $19,921 |
| Dental | Delta Dental Of Pennsylvania | Engle, Hambright & Davies, Inc. | 141 | $1,110 10.0% of $11,101 |
| Vision | Ameritas Life Insurance Corp | Engle, Hambright & Davies, Inc. | 116 | $165 0.3% of $61,301 |
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 $19,473
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Engle Hambright & Davies, Inc | Broker | $9,823 | $69.67 |
| The Benecon Group, LLC | Broker | $6,729 | $47.72 |
| Capital Blue Cross | Admin | $1,944 | $13.79 |
| Connectcare 3 | Patient Advocate | $977 | $6.93 |