Employer
Quality Custom Cabinetry, Inc.
Po Box 189, 125 Peters Road, New Holland, PA 17557 · EIN 23-1730713 · Jan 1, 2025 to Dec 31, 2025
Plan year 2025
Covered lives: 110
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 $9,491
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | HM Life Insurance Company | — | 87 | Comp not disclosed Premium $435,561 |
| Dental | Equitable Financial Life Insurance Company Of America | Ccab Insurance & Benefit | 65 | $2,720 10.0% of $27,197 |
| Dental | Equitable Financial Life Insurance Company Of America | Gis Benefits | 65 | $1,322 4.9% of $27,197 |
| Vision | Vision Benefits Of America | Ccab Insurance & Benefits, Inc. | 47 | $580 10.0% of $5,801 |
| Life | Lincoln National Life Insurance Company | Ccab Insurance & Benefits, Inc. | 106 | $2,193 9.8% of $22,445 |
| Other | Lincoln National Life Insurance Company | Ccab Insurance & Benefits, Inc. | 106 | $2,676 12.7% of $20,994 |
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 $84,029
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| The Benecon Group, LLC | Broker | $82,936 | $753.96 |
| Ccab Insurance & Benefits, Inc. | Broker | $21,000 | $190.91 |
| Lincoln National Life Insurance Com | Admin | $6,148 | $55.89 |
| Capital Advantage Assurance Company | Admin | $-26,055 | $-236.86 |