Employer
R.W. Sauder, Inc.
570 Furnace Hills Pike, Lititz, PA 17543 · EIN 23-1669456 · Jan 1, 2024 to Dec 31, 2024
Plan year 2024
Covered lives: 245
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 $17,932
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | HM Life Insurance Company | — | 202 | Comp not disclosed Premium $871,580 |
| Life | Unum Life Insurance Company Of America | Engle Hambright & Davies, Inc. | 245 | $1,419 8.8% of $16,154 |
| Other | Unum Life Insurance Company Of America | Engle Hambright & Davies, Inc. | 99 | $10,953 15.1% of $72,538 |
| Lifestyle Life | Unum Life Insurance Company Of America | Engle Hambright & Davies, Inc. | 76 | $5,560 16.4% of $33,977 |
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 $19,988
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| The Benecon Group | Broker | $33,016 | $134.76 |
| Engle Hambright & Davies, Inc. | Broker | $6,540 | $26.69 |
| Delta Dental | Admin | $19,649 | $80.20 |
| ConnectCare3 | Patient Advocate | $11,460 | $46.78 |
| Highmark Blue Shield (Central) | Admin | $-50,677 | $-206.84 |