Employer
Providence Engineering Corporation
10 Eisenhower Blvd, Lancaster, PA 17603 · EIN 23-2683461 · Jan 1, 2025 to Dec 31, 2025
Plan year 2025
Covered lives: 105
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 $12,030
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | HM Life Insurance Company | — | 60 | Comp not disclosed Premium $252,919 |
| Dental + Vision | Highmark, Inc. | Stoudt, David K | 105 | $2,478 7.2% of $34,559 |
| Dental + Vision | Highmark, Inc. | Benjamin, Kelsey Michelle | 105 | $749 2.2% of $34,559 |
| Life | The Lincoln National Life Insurance Company | Ap Benefit Advisors LLC | 69 | $740 13.8% of $5,356 |
| Life | The Lincoln National Life Insurance Company | Gis Benefits Inc | 69 | $342 6.4% of $5,356 |
| Life | The Lincoln National Life Insurance Company | Engle-Hambright & Davies Inc | 69 | $312 5.8% of $5,356 |
| Other | The Lincoln National Life Insurance Company | Ap Benefit Advisors LLC | 69 | $1,313 13.8% of $9,484 |
| Other | The Lincoln National Life Insurance Company | Gis Benefits Inc | 69 | $606 6.4% of $9,484 |
| Other | The Lincoln National Life Insurance Company | Engle-Hambright & Davies Inc | 69 | $550 5.8% of $9,484 |
| Other | The Lincoln National Life Insurance Company | Ap Benefit Advisors LLC | 69 | $2,625 13.8% of $18,966 |
| Other | The Lincoln National Life Insurance Company | Gis Benefits Inc | 69 | $1,213 6.4% of $18,966 |
| Other | The Lincoln National Life Insurance Company | Engle-Hambright & Davies Inc | 69 | $1,102 5.8% of $18,966 |
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 $73,607
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| The Benecon Group, LLC | Broker | $58,552 | $557.64 |
| Assured Partners (Central Pa) | Broker | $23,595 | $224.71 |
| Revivehealth, Inc. | Admin | $9,360 | $89.14 |
| Capital Bluecross | Admin | $-17,900 | $-170.48 |