Employer
Berwick Hospital Company, LLC
701 E. 16th Street, Berwick, PA 28603 · EIN 23-2975836 · 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 $30,623
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Vision | Sun Life Assurance Company Of Canada | Andus LLC DBA Andus Health Benefits | 125 | $19,152 19.6% of $97,760 |
| Life | Prudential Insurance Company Of America | Andus LLC | 29 | $9,606 15.0% of $64,043 |
| Life | Prudential Insurance Company Of America | Img | 29 | $27 0.0% of $64,043 |
| Vision | Sunlife Assurance Company Of Canada | Andus LLC DBA Andus Health Benefits | 125 | $1,838 15.1% of $12,140 |
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.