Employer
Chartwell Staffing Solutions
245 Centerville Road, Suite 10, Lancaster, PA 17603 · EIN 45-4078017 · Jun 1, 2020 to May 31, 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 $22,371
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Kaiser Foundation Health Plan Inc | Sequoia Benefits & Ins Svcs LLC | 27 | $10,779 5.1% of $212,465 |
| Medical | Kaiser Foundation Health Plan Inc | Sequoia Benefits & Ins Svcs LLC | 24 | $7,180 5.2% of $138,502 |
| Vision | Vision Service Plan | Gregory Golub | 66 | $757 7.5% of $10,143 |
| Life | Hartford Life And Accident | Gregory S Golub | 123 | $3,655 9.4% of $39,082 |
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.