Employer

Creative Health Services, Inc.

11 Robinson Street, Pottstown, PA 19464 · EIN 23-1522060 · Sep 1, 2024 to Aug 31, 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 $115,804

Coverage	Carrier	Broker	Lives	Direct comp
Medical	Independence Blue Cross	Kistler Tiffany Benefits Co	265	$77,198 4.2% of $1,858,944
Vision	Vision Service Plan	Kistler Tiffany Benefits Co	158	$1,075 5.2% of $20,756
Vision	Vision Service Plan	Corporate Synergies Group, LLC	158	$55 0.3% of $20,756
Vision	Vision Service Plan	Employee Navigator, LLC	158	$35 0.2% of $20,756
Life	Guardian Life Insurance Company	Digital Insurance, Inc.	202	$24,030 11.6% of $207,467
Life	Guardian Life Insurance Company	Amerihealth Administrators, Inc.	202	$4,149 2.0% of $207,467
Life	Guardian Life Insurance Company	Corporate Synergies Group, LLC	202	$3,713 1.8% of $207,467
Other	Colonial Life & Accident Insurance Company	Digital Insurance, Inc.	42	$2,602 6.6% of $39,377
Other	Colonial Life & Accident Insurance Company	Teresa Burns	42	$678 1.7% of $39,377
Other	Colonial Life & Accident Insurance Company	Ardena L Mcvicker	42	$742 1.9% of $39,377
Other	Colonial Life & Accident Insurance Company	Benechoice Enrollment Solutions & T	42	$534 1.4% of $39,377
Other	Colonial Life & Accident Insurance Company	Petrina Skiles	42	$447 1.1% of $39,377
Other	Colonial Life & Accident Insurance Company	Joseph R Stoll And Various Agents	42	$307 0.8% of $39,377
Other	Colonial Life & Accident Insurance Company	Lawrence Eugene Prichard	42	$239 0.6% of $39,377
Employee Assistance Program	Care Plus Solutions, Inc	—	217	Comp not disclosed Premium $2,643

Schedule C

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.

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