Employer
Spanish American Civic Association For Equality, Inc
453 S Lime Street, Lancaster, PA 17602 · EIN 23-7319993 · Jan 1, 2024 to Dec 31, 2024
Plan year 2024
Covered lives: 84
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 $11,531
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Optum Health (Unimerica Insurance Company) | — | 48 | Comp not disclosed Premium $152,547 |
| Dental + Vision | Metropolitan Life Insurance Company | — | 84 | Schedule A not provided |
| Dental + Vision | Metropolitan Life Insurance Company | — | 84 | Schedule A not provided |
| Dental + Vision | Metropolitan Life Insurance Company | — | 84 | Schedule A not provided |
| Accident, Cancer, Hospital Indemnity, Critical Illness | Sun Life Assurance Company Of Canada | Ap Benefit Advisors LLC | 14 | $984 11.0% of $8,955 |
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 $27,528
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Assured Partners (Central Pa) | Broker | $17,952 | $213.71 |
| The Benecon Group, LLC | Broker | $14,330 | $170.60 |
| ConnectCare3 | Patient Advocate | $3,004 | $35.76 |
| Capital Bluecross | Admin | $-7,758 | $-92.36 |