Employer
The Witmer Group LLC
1003 Cornerstone Drive, Mount Joy, PA 17552 · EIN 47-4148551 · Jan 1, 2024 to Dec 31, 2024
Plan year 2024
Covered lives: 192
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 $5,907
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Vision | Vision Benefits Of America | Ap Benefit Advisors | 117 | $660 8.0% of $8,252 |
| Life | United Of Omaha Life Insurance Company | Ap Benefits Advisors LLC | 192 | $1,112 10.0% of $11,118 |
| Life | United Of Omaha Life Insurance Company | Benefitmall Inc | 192 | $135 1.2% of $11,118 |
| Other | United Of Omaha Life Insurance Company | United Of Omaha Life Insurance Co | 192 | $4,000 |
| Stop-loss | Everest Reinsurance Company | — | 139 | Comp not disclosed Premium $123,514 |
| Stop-loss | HM Life Insurance Company | — | 137 | Comp not disclosed Premium $389,234 |
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 $112,002
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| United Concordia Companies, Inc. | Admin | $8,665 | $45.13 |
| Assured Partners (Central Pa) | Broker | $36,630 | $263.53 |
| The Benecon Group, LLC | Broker | $20,596 | $148.17 |
| Mcconkey Benefits & Financial Serv | Broker | $11,256 | $80.98 |
| Highmark Blue Shield (Central) | Admin | $25,782 | $185.48 |
| ConnectCare3 | Patient Advocate | $6,862 | $49.37 |
| Benefitmall | Admin | $2,211 | $15.91 |