Employer
Vescor Hospitality, LLC
402 N Queen Street, Lancaster, PA 17603 · EIN 23-2999395 · May 1, 2025 to Jun 30, 2025
Plan year 2025
Covered lives: 69
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 $108
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | HM Life Insurance Company | — | 66 | Comp not disclosed Premium $27,031 |
| Dental | The Lincoln National Life Insurance Company | — | — | Schedule A not provided |
| Voluntary Vision | Metropolitan Life Insurance Company | — | 65 | Schedule A not provided |
| Voluntary Vision | Metropolitan Life Insurance Company | — | 65 | Schedule A not provided |
| Voluntary Vision | Metropolitan Life Insurance Company | — | 65 | Schedule A not provided |
| Voluntary Vision | Metropolitan Life Insurance Company | — | 65 | 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 $4,934
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Assured Partners (Central Pa) | Broker | $4,224 | $61.22 |
| The Benecon Group | Broker | $3,270 | $47.39 |
| Capital Bluecross | Admin | $-2,560 | $-37.10 |