Employer
Listrak Inc.
100 West Millport Rd, Lititz, PA 17543 · EIN 23-3025990 · Jan 1, 2024 to Dec 31, 2024
Plan year 2024
Covered lives: 594
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 $54,460
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Dental | Sun Life Assurance Company Of Canada | Engle-Hambright & Davies Inc | 329 | $29,165 5.6% of $520,639 |
| Dental | Sun Life Assurance Company Of Canada | James R Nelligan & Associates LLC | 329 | $24,123 4.6% of $520,639 |
| Vision | Capital Advantage Assurance Company | Engle-Hambright & Davies Inc | 594 | $1,172 4.0% of $29,295 |
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 $2,208,250
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Blue Cross And Blue Shield Of Sc | Admin | $2,192,898 | $3,691.75 |
| The Benecon Group | Broker | $8,114 | — |
| Engle Hambright & Davies, Inc. | Broker | $7,238 | — |