Employer
Childrens Crisis Treatment Center, Inc.
1080 North Delaware Ave Ste 600, Philadelphia, PA 19125 · EIN 23-2065617 · Jul 1, 2024 to Jun 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 $2,388
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Everest Reinsurance Company | — | — | Comp not disclosed Premium $1,465 |
| Stop-loss | Fair American Insurance And Reinsurance Company | — | 215 | Comp not disclosed Premium $598,131 |
| Vision | Fidelity Security Life Insurance Company | Patriot Growth Insurance DBA Exude | 261 | $2,388 10.0% of $23,879 |
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.
Visible subtotal $293,981
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Patriot (Exude, Inc.) | Broker | $113,963 | $530.06 |
| The Benecon Group, LLC | Broker | $46,607 | $216.78 |
| Meritain Health, An Aetna Company | Admin | $119,984 | $558.07 |
| ConnectCare3 | Patient Advocate | $13,427 | $62.45 |