Employer
Keystone Wood Specialties, Inc.
2225 Old Philadelphia Pike, Lancaster, PA 17602 · EIN 23-2325747 · Jan 1, 2025 to Dec 31, 2025
Plan year 2025
Covered lives: 55
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 $4,062
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | HM Life Insurance Company | — | 48 | Comp not disclosed Premium $298,705 |
| Dental + Vision | The Guardian Life Insurance Company Of America | Murray Ins Assoc Inc. | 53 | $3,365 8.3% of $40,433 |
| Dental + Vision | The Guardian Life Insurance Company Of America | Ap Benefit Advisors, LLC | 53 | $697 1.7% of $40,433 |
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 $63,216
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| The Benecon Group, LLC | Broker | $54,906 | $998.29 |
| Assured Partners (Central Pa) | Broker | $21,120 | $384.00 |
| Highmark Blue Shield (Central) | Admin | $-12,810 | $-232.91 |