Employer
Amerihealth Caritas Services, LLC
3875 West Chester Pike, Newtown Square, PA 19073 · EIN 23-2842344 · Jan 1, 2022 to Dec 31, 2022
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 $1,429,367
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Life | Prudential Insurance Company Of America | Capital Management Enterprises Inc | 8581 | $332,596 13.6% of $2,450,569 |
| AD&D | Aig Property Casualty, U.S. | Capital Management Enterprises Inc | 6338 | $847 15.0% of $5,648 |
| Other | Unum Life Insurance Company Of America | Capital Management Enterprises Inc | 8357 | $1,080,433 10.1% of $10,718,513 |
| Other | Unum Life Insurance Company Of America | Capital Management Enterprises Inc | 490 | $15,491 3.3% of $476,604 |
| Other | First Unum Life Insurance Company | — | 20 | Comp not disclosed Premium $9,073 |
| Other | Unum Life Insurance Company Of America | — | 1 | Comp not disclosed Premium $894 |
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 $116,350
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Carebridge Corporation | Outside Service Provider | $116,350 | $13.56 |
| Compsych Corp | Third Party Admin | Comp not disclosed | — |