Employer
Maugus Manufacturing, Inc.
505 E. Fulton Street, Lancaster, PA 17602 · EIN 04-2067189 · Jan 1, 2024 to Dec 31, 2024
Plan year 2024
Covered lives: 162
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 $24,284
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | HM Life Insurance Company | — | 115 | Comp not disclosed Premium $564,071 |
| Dental | Sun Life Assurance Company Of Canada | Engle Hambright & Davies, Inc. | 148 | $16,249 10.6% of $153,460 |
| Dental | Sun Life Assurance Company Of Canada | James R Nelligan & Associates LLC | 148 | $7,668 5.0% of $153,460 |
| Vision | Capital Advantage Assurance Company | Engle Hambright & Davies, Inc. | 125 | $367 4.0% of $9,167 |
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 $91,543
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Engle Hambright & Davies, Inc. | Broker | $37,236 | $229.85 |
| The Benecon Group, LLC | Broker | $22,122 | $136.56 |
| Highmark Blue Shield (Central) | Admin | $24,500 | $151.23 |
| ConnectCare3 | Patient Advocate | $7,685 | $47.44 |