Employer
K & W Tire Company, Inc.
735 N Prince Street, Lancaster, PA 17603 · EIN 23-1706509 · Jul 1, 2024 to Jun 30, 2025
Plan year 2024
Covered lives: 35
Schedule A
Direct compensation
Coverage contracts on the filing. If the carrier did not provide Schedule A, the row is listed with that note.
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | HM Life Insurance Company | — | — | Comp not disclosed Premium $34,303 |
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 $6,109
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Assured Partners (Central Pa) | Broker | $4,643 | $132.66 |
| The Benecon Group | Broker | $3,526 | $100.74 |
| Capital Bluecross | Admin | $-2,060 | $-58.86 |