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Employer

Community Guidance Center

793 Old Route 119 Hwy North, Indiana, PA 15701 · EIN 25-1096780 · 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 $45,116

CoverageCarrierBrokerLivesDirect comp
MedicalUpmc Health OptionsAlliant Insurance Services, Inc.103
$39,200
4.0% of $975,165
DentalDelta Dental Of PennsylvaniaAlliant Insurance Services, Inc.142
$1,971
5.1% of $38,427
VisionNational Vision Administrators LLC - HeartlandAlliant Insurance Services, Inc.144
$432
5.0% of $8,634
LifeLife Insurance Company Of North AmericaAlliant Insurance Services, Inc.122
$2,635
13.7% of $19,184
LifeLife Insurance Company Of North AmericaArchon LLC122
$878
4.6% of $19,184

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.