Employer
Centerville Clinics, Inc.
1070 Old National Pike Road, Fredericktown, PA 15333 · EIN 25-1008110 · May 1, 2024 to Apr 30, 2025
Plan year 2024
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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 $89,275
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Highmark Inc. | The Hdh Group, Inc. | 249 | $65,691 3.0% of $2,206,623 |
| Life | United Of Omaha Life Insurance Company | American Insurance Administrators | 261 | $18,849 12.6% of $149,685 |
| Life | United Of Omaha Life Insurance Company | National Benefit Center | 261 | $4,735 3.2% of $149,685 |
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.