Employer
Delta Dental Of Pennsylvania
300 Corporate Center Drive, Camp Hill, PA 17011 · EIN 23-1667011 · Jan 1, 2024 to Dec 31, 2024
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 $23,859
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Life | Hartford Life And Accident | Mercer Human Resource Consulting | 759 | $13,484 2.0% of $681,131 |
| Life | Hartford Life And Accident | Mercer (Us), Inc. | 759 | $9,921 1.5% of $681,131 |
| Business Travel Accident | Zurich American Insurance Company | Mercer (Us), Inc. | 507 | $309 30.0% of $1,031 |
| Accidental Death And Dismemberment | Hartford Life And Accident | Mercer (Us), Inc. | 273 | $145 1.5% of $9,804 |
| Employee Assistance Program | Compsych Corporation | — | 743 | Comp not disclosed Premium $10,368 |
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.