Employer
Covis Pharma Us, Inc.
1150 First Avenue, King Of Prussia, PA 19406 · EIN 84-5171883 · Mar 1, 2023 to Feb 29, 2024
Plan year 2023
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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 $24,561
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Independence Blue Cross | — | 211 | Comp not disclosed Premium $2,166,365 |
| Dental | Delta Dental Of Pennsylvania | Aon Consulting, Inc. | 210 | $12,204 9.0% of $135,598 |
| Vision | Vision Service Plan | Aon Consulting, Inc. | 65 | $1,298 12.1% of $10,715 |
| Vision | Vision Service Plan | Emerson Rogers LLC | 65 | $536 5.0% of $10,715 |
| Life | Hartford Life And Accident | Aon Consulting, Inc. | 132 | $7,840 9.9% of $79,529 |
| Life | Hartford Life And Accident | Emerson Rogers LLC | 132 | $2,519 3.2% of $79,529 |
| Life | Hartford Life And Accident | Aon Risk Service Central, Inc. | 132 | $208 0.3% of $79,529 |
| Life | Hartford Life And Accident | Emerson Rogers LLC | 132 | $-44 -0.1% of $79,529 |
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.