Employer
L. H. Brubaker Appliances, Inc.
340 Strasburg Pike, Lancaster, PA 17602 · EIN 23-1886853 · Jul 1, 2024 to Jun 30, 2025
Plan year 2024
Covered lives: 36
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 | — | 36 | Comp not disclosed Premium $130,425 |
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 $26,378
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| The Benecon Group LLC | Broker | $13,265 | $368.47 |
| Creative Benefits, Inc. | Broker | $10,575 | $293.75 |
| Capital Bluecross | Admin | $2,538 | $70.50 |