Employer
Christina Muller-Levan
Po Box 218, Port Clinton, PA 19549 · EIN 23-2622160 · Jul 1, 2022 to Jun 30, 2023
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.
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Highmark Inc | — | 534 | Comp not disclosed |
| Dental | Highmark Blue Shield | — | 555 | Comp not disclosed Premium $115,593 |
| Vision | National Vision Administrators LLC | — | 561 | Comp not disclosed Premium $21,334 |
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.