Broker book
Capital Blue Cross
EIN 52-0455154
Plan year 2022
1 employer · 38 enrolled · Direct (A) $0 · Additional (C) $2,768
Employers
Plan year 2022
Groups named on this party’s Form 5500 rows for the selected plan year.
| Employer | Coverage | Carrier | Enrolled | Direct (A) | Additional (C) |
|---|---|---|---|---|---|
| Eye Associates Of Lancaster, Ltd. | Plan-paid | — | 38 | — | $2,768 · $72.84/enrolled |
About these columns
Direct (A) — Carrier-contract commissions from Schedule A. Not averaged with Schedule C.
Additional (C) — Plan-paid amounts from Schedule C. Shown as total and $ / enrolled / year.