Employer
Lsc Design, Inc.
231 N George St. Suite 100, York, PA 17401 · EIN 25-1604147 · Jan 1, 2025 to Dec 31, 2025
Plan year 2025
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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 $8,661
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Optum Health (Unimerica Insurance Company) | — | — | Comp not disclosed Premium $290 |
| Stop-loss | Avalon Insurance Company | — | 32 | Comp not disclosed Premium $210,386 |
| Dental + Vision | Capital Advantage Assurance Company | Assured Partners (Central Pa) | 64 | $3,273 9.1% of $35,912 |
| Life | Unum Life Insurance Company Of America | Assured Partners (Central Pa) | 34 | $4,705 11.9% of $39,497 |
| AD&D | Unum Life Insurance Company Of America | Assured Partners (Central Pa) | 13 | $683 15.0% of $4,549 |
| EAP | Quest Behavioral Health, Inc | — | 84 | Comp not disclosed Premium $250 |
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 $89,650
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| The Benecon Group | Broker | $41,031 | $488.46 |
| Assured Partners (Central Pa) | Broker | $10,700 | $127.38 |
| Capital Bluecross | Admin | $37,919 | $451.42 |