Employer
Css Operating Corporation
245 Centerville Rd Ste 10, Lancaster, PA 17603 · EIN 82-3355412 · Jun 1, 2022 to May 31, 2023
Plan year 2022
Covered lives: 125
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 $26,147
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Cigna Health And Life Insurance Company | — | 73 | Comp not disclosed Premium $131,393 |
| Medical | Kaiser Foundation Health Plan, Inc. | Tac Benefits Group LLC | 19 | $13,262 5.1% of $257,944 |
| Medical | Kaiser Foundation Health Plan, Inc. | Tac Benefits Group LLC | 23 | $9,008 5.4% of $165,831 |
| Vision | Vision Service Plan | Tac Benefits Group LLC | 43 | $756 8.1% of $9,295 |
| Life | Hartford Life And Accident | Tac Benefits Group LLC | 87 | $3,267 9.1% of $35,900 |
| Life | Hartford Life And Accident | Gregory S Golub | 87 | $-146 -0.4% of $35,900 |
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.