Employer
Salzmann Hughes, P.C.
354 Alexander Spring Road, Carlisle, PA 17015 · EIN 25-1894310 · Jul 1, 2024 to Jun 30, 2025
Plan year 2024
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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 $131
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | HM Life Insurance Company | — | 32 | Comp not disclosed Premium $284,309 |
| Vision | Capital Advantage Assurance Company | Benefit Connections, Inc. | 55 | $131 4.0% of $3,266 |
| Life | Sun Life Assurance Company Of Canada | — | — | Schedule A not provided |
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 $24,935
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Benefit Connections, Inc. | Broker | $10,856 | $197.38 |
| The Benecon Group | Broker | $10,789 | $196.16 |
| Capital Blue Cross | Admin | $3,290 | $59.82 |