Employer
Two Dudes Painting Company
750 Poplar Street, Lancaster, PA 17603 · EIN 23-3006967 · Oct 1, 2024 to Sep 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 $652
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Optum Health (Unimerica Insurance Company) | — | — | Comp not disclosed Premium $40,552 |
| Stop-loss | Crum & Forster | — | — | Comp not disclosed Premium $50,538 |
| Dental | Capital Advantage Assurance Company | — | — | Schedule A not provided |
| Vision | Sunlife Assurance Company Of Canada | The Benecon Group, Inc. | 50 | $164 15.0% of $1,093 |
| Other | Northwestern Mutual | — | — | Schedule A not provided |
| EAP | Samaritan Counseling | — | — | 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 $15,264
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| The Benecon Group | Broker | $5,736 | $114.72 |
| Harding-Yost Insurance | Broker | $3,873 | $77.46 |
| Capital Bluecross | Admin | $5,655 | $113.10 |