Employer
Lancaster Urology, Pc.
2106 Harrisburg Pike Ste 200, Lancaster, PA 17604 · EIN 23-1740524 · Jan 1, 2024 to Dec 31, 2024
Plan year 2024
Covered lives: 91
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 $16,508
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Highmark Inc. | Alera Group Inc | 91 | $15,817 1.7% of $943,993 |
| Vision | Vision Service Plan | Mcconkey Benefits & Financial Servi | — | $429 8.4% of $5,083 |
| Life | Unum Life Insurance Company Of America | Mcconkey Benefits & Financial Servi | 71 | $262 11.8% of $2,226 |
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 $5,867
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| The Benecon Group | Broker | $4,283 | $47.07 |
| E. K. Mcconkey & Co., Inc. | Broker | $1,584 | $17.41 |