Employer
Keith D. Smith Concrete Contractor, Inc.
3333 Baltimore Pike, Hanover, PA 17331 · EIN 23-2762243 · Jan 1, 2025 to Dec 31, 2025
Plan year 2025
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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.
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Crum & Forster | — | 50 | Comp not disclosed Premium $221,357 |
| Dental | United Of Omaha Life Insurance Company | — | — | Schedule A not provided |
| Vision | Highmark, Inc. | — | — | Schedule A not provided |
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 $43,269
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| The Benecon Group, LLC | Broker | $48,163 | $963.26 |
| E. K. Mcconkey & Co., Inc. | Broker | $15,050 | $301.00 |
| Capital Bluecross | Admin | $29 | $0.58 |
| Highmark Blue Shield (Central) | Admin | $-19,973 | $-399.46 |