Employer
Children'S Behavioral Health Services, Inc.
104 Woodward Hill Road, Edwardsville, PA 18704 · EIN 23-3023346 · Jul 1, 2020 to Jun 30, 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 $11,792
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Dental | Sun Life Assurance Insurance Company Of Canada | Creative Benefits, Inc | 60 | $1,393 8.8% of $15,776 |
| Life | The Guardian Life Insurance Company | Creative Benefits, Inc | 41 | $324 26.8% of $1,207 |
| Other | Life Insurance Company Of America | Creative Benefits, Inc | 6 | $147 10.0% of $1,470 |
| Long Term Care | Unum Life Insurance Company Of America | Creative Benefits, Inc | 8 | $125 10.1% of $1,240 |
| Medical | Geisinger Quality Options, Inc. | Creative Benefits, Inc | 2 | $810 3.5% of $22,834 |
| Medical | Geisinger Health Plan | Creative Benefits, Inc | 22 | $8,850 5.5% of $160,892 |
| Vision | Vision Benefits Of America | Creative Benefits, Inc | 31 | $143 5.0% of $2,862 |
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.