Employer
Abramson Center For Jewish Life
5 Sentry Parkway East, Suite 100, Blue Bell, PA 19422 · EIN 23-1352343 · Jul 1, 2022 to Jun 30, 2023
Plan year 2022
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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 $4,254
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Independence Blue Cross- Personal Choice | — | 34 | Comp not disclosed Premium $734,201 |
| Medical | Independence Blue Cross- Keystone Health Plan | — | 6 | Comp not disclosed Premium $194,893 |
| Dental | Aetna Life Insurance Co. | — | 44 | Comp not disclosed Premium $41,943 |
| Life | United Of Omaha Life Insurance Company | Cbiz Benefits & Ins. Services | 27 | $196 5.9% of $3,329 |
| Life | United Of Omaha Life Insurance Company | Cbiz Benefits & Ins. Services | 7 | $612 5.6% of $10,926 |
| Other | United Of Omaha Life Insurance Company | Cbiz Benefits & Ins. Services | 20 | $1,531 5.3% of $28,711 |
| Other | United Of Omaha Life Insurance Company | Cbiz Benefits & Ins. Services | 5 | $1,915 5.7% of $33,855 |
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 $75,000
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Cbiz | None | $75,000 | $213.68 |