Employer
Penn Veterinary Supply, Inc.
53 Industrial Circle, Lancaster, PA 17601 · EIN 23-2183126 · Nov 1, 2024 to Oct 31, 2025
Plan year 2024
Covered lives: 286
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 $37,009
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Dental + Vision | Capital Advantage Assurance Company | Strateben Inc | 286 | $12,040 9.6% of $125,077 |
| Life | United Of Omaha Life Insurance Company | Strateben Inc | 193 | $834 15.0% of $5,562 |
| Life | United Of Omaha Life Insurance Company | Consolidated Benefits Incorporated | 193 | $278 5.0% of $5,562 |
| AD&D | The Lincoln National Life Insurance Company | Strateben Inc | 78 | $5,494 15.0% of $36,626 |
| AD&D | The Lincoln National Life Insurance Company | Consolidated Benefits Incorporated | 78 | $1,831 5.0% of $36,626 |
| Voluntary Short-Term Disability | United Of Omaha Life Insurance Company | Strateben Inc | 69 | $2,704 12.0% of $22,534 |
| Voluntary Short-Term Disability | United Of Omaha Life Insurance Company | Consolidated Benefits Incorporated | 69 | $1,127 5.0% of $22,534 |
| Voluntary | United Of Omaha Life Insurance Company | Strateben Inc | 70 | $5,384 15.0% of $35,896 |
| Voluntary | United Of Omaha Life Insurance Company | Consolidated Benefits Incorporated | 70 | $1,795 5.0% of $35,896 |
| Other | United Of Omaha Life Insurance Company | Strateben Inc | 193 | $3,898 12.0% of $32,486 |
| Other | United Of Omaha Life Insurance Company | Consolidated Benefits Incorporated | 193 | $1,624 5.0% of $32,486 |
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 $-101,230
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| The Benecon Group, LLC | Broker | $10,378 | $66.95 |
| Ccab Inusrance & Benefits, Inc. | Broker | $7,226 | $46.62 |
| Capital Blue Cross | Admin | $-81,650 | $-526.77 |
| Strateben Inc | Broker | $37,234 | $130.19 |
| Capital Advantage Assurance Company | Admin | $-74,418 | $-260.20 |