Employer
Tri-Starr Services Of Pennsylvania, Inc.
2201 Oregon Pike, Lancaster, PA 17601 · EIN 23-2687798 · Jan 1, 2025 to Dec 31, 2025
Plan year 2025
Covered lives: 90
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 $4,742
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | HM Life Insurance Company | — | 52 | Comp not disclosed Premium $188,033 |
| Dental + Vision | Ameritas Life Insurance Corp. | Engle-Hambright & Davies, Inc. | 90 | $3,269 14.1% of $23,213 |
| Dental + Vision | Ameritas Life Insurance Corp. | James R. Nelligan & Associates | 90 | $1,258 5.4% of $23,213 |
| Life | Standard Insurance Company Of Pa Inc. | Engle-Hambright & Davies, Inc. | 38 | $215 12.0% of $1,795 |
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 $64,549
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| The Benecon Group | Broker | $42,135 | $468.17 |
| Engle-Hambright & Davies, Inc. | Broker | $22,414 | $249.04 |