Employer
Lancaster Log Cabins, LLC
1005 Brackbill Road, Gap, PA 17527 · EIN 81-3002739 · Oct 1, 2024 to Sep 30, 2025
Plan year 2024
Covered lives: 77
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 $6,578
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | HM Life Insurance Company | — | 31 | Comp not disclosed Premium $101,657 |
| Medical | Principal Life Insurance Company | Ccab Insurance & Benefits, Inc. | 77 | $2,242 9.8% of $22,868 |
| Medical | Principal Life Insurance Company | Gis Benefits Inc | 77 | $1,153 5.0% of $22,868 |
| Life | Unum Life Insurance Company Of America | Ccab Insurance & Benefits, Inc. | 45 | $2,387 13.8% of $17,292 |
| Life | Unum Life Insurance Company Of America | Consolidated Benefits Inc | 45 | $796 4.6% of $17,292 |
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 $31,738
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| The Benecon Group | Broker | $19,430 | $252.34 |
| Ccab Insurance & Benefits, Inc. | Broker | $12,314 | $159.92 |
| Capital Bluecross | Admin | $-6 | $-0.08 |