Employer
L & M Fabrication And Machine, Inc.
6814 Chrisphalt Drive, Bath, PA 18014 · EIN 23-1695529 · Jan 1, 2025 to Dec 31, 2025
Plan year 2025
View
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 $3,739
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Crum & Forster | — | 34 | Comp not disclosed Premium $184,764 |
| Dental + Vision | Cigna Health And Life Insurance Company | — | — | Schedule A not provided |
| Life | Hartford Life & Accident Insurance | Bsi Cooperate Benefits LLC | 59 | $3,739 14.2% of $26,336 |
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 $51,509
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Benecon Group, LLC | Broker | $35,021 | $593.58 |
| Bsi Corporate Benefits | Broker | $24,534 | $415.83 |
| Hy Holdings Inc | Admin | $3,129 | $53.03 |
| Innovu | Other | $1,845 | $31.27 |
| Capital Bluecross | Admin | $-13,020 | $-220.68 |