Employer
Mason Dixon Farms, Inc.
1800 Mason Dixon Road, Gettysburg, PA 17325 · EIN 23-1431891 · Sep 1, 2024 to Aug 31, 2025
Plan year 2024
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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 $52
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | HM Life Insurance Company | — | 11 | Comp not disclosed Premium $101,262 |
| Dental | United Concordia Insurance Company | — | 11 | Schedule A not provided |
| Vision | National Vision Administrators LLC | — | 7 | Schedule A not provided |
| EAP | Quest Behavioral Health, Inc | — | 19 | Schedule A not provided |
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 $20,309
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| The Benecon Group, LLC | Broker | $14,884 | $783.37 |
| Pci (Pa Chamber Insurance) | Broker | $5,425 | $285.53 |