Employer
The Mennonite Home
1520 Harrisburg Pike, Lancaster, PA 17601 · EIN 23-1413689 · Jul 1, 2024 to Jun 30, 2025
Plan year 2024
Covered lives: 368
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 $67,013
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Optum Health Unimerica Insurance Company | — | 233 | Comp not disclosed Premium $858,602 |
| Medical | American Fidelity Assurance Company | American Fidelity Assurance Company | 39 | $1,690 14.9% of $11,330 |
| Medical | American Fidelity Assurance Company | Ap Benefit Advisors LLC | 39 | $217 1.9% of $11,330 |
| Medical | American Fidelity Assurance Company | The Benecon Group | 39 | $200 1.8% of $11,330 |
| Vision | Vision Benefits Of America | Ap Benefits Advisors | 248 | $1,278 5.0% of $25,562 |
| Life | American United Life Insurance Company | Ap Benefit Advisors LLC | 335 | $44,647 23.8% of $187,937 |
| Life | American United Life Insurance Company | Gis Benefits Inc | 335 | $11,337 6.0% of $187,937 |
| Life | American United Life Insurance Company | The Benecon Group | 335 | $7,644 4.1% of $187,937 |
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 $102,704
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Lr Webber | Broker | $20,709 | $88.88 |
| The Benecon Group LLC | Broker | $20,402 | $87.56 |
| Assured Partners (Central Pa) | Brokers | $46,020 | $197.51 |
| ConnectCare3 | Patient Advocate | $12,272 | $52.67 |
| Capital Bluecross | Admin | $-15,340 | $-65.84 |
| United Concordia Companies, Inc. | Admin | $18,641 | $50.65 |