Employer
Bath Authority LLC DBA Dreamline
75 Hawk Road, Warminster, PA 18974 · EIN 34-2066251 · Mar 1, 2020 to Feb 28, 2021
Plan year 2020
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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 $75,514
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Independence Blue Cross | Corporate Synergies Group, LLC | 192 | $61,262 5.0% of $1,233,840 |
| Dental | United Concordia Insurance Company | Corporate Synergies Group, LLC | 197 | $2,672 3.1% of $85,505 |
| Vision | Unitedhealthcare Insurance Company | Corporate Synergies Group, LLC | 148 | $1,047 10.0% of $10,470 |
| Vision | Unitedhealthcare Insurance Company | Corporate Synergies Group, LLC | 148 | $209 2.0% of $10,470 |
| Life | United Of Omaha Life Insurance Company | Corporate Synergies Group, LLC | 176 | $10,324 17.3% of $59,646 |
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.
No Schedule C parties in this year.