Employer
Whitmoyer Ford, Inc.
1001 E. Main St, Mount Joy, PA 17552 · EIN 25-1669706 · Dec 1, 2021 to Nov 30, 2022
Plan year 2021
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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 $1,318
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Everest Reinsurance Company | — | 30 | Comp not disclosed Premium $115,847 |
| Dental + Vision | Capital Advantage Assurance Company | Engle, Hambright & Davies, Inc. | 55 | $1,318 9.3% of $14,132 |
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 $44,802
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Engle Hambright & Davies, Inc | Broker | $15,047 | $273.58 |
| The Benecon Group, LLC | Broker | $10,583 | $192.42 |
| Capital Blue Cross | Admin | $16,857 | $306.49 |
| Connectcare 3 | Patient Advocate | $2,315 | $42.09 |