Employer
Dubois Continuum Of Care Community, Inc.
212 S 8th St, Dubois, PA 15801 · EIN 25-1352326 · Mar 1, 2024 to Mar 1, 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 $25,618
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Highmark Inc. | Lisa A Cooper | 90 | $21,736 2.6% of $826,716 |
| Dental | Delta Dental | Davevic Benefit Consultants | 93 | $1,179 |
| Vision | Vision Benefits Of America | Davevic Benefit Consultants | 103 | $350 5.0% of $7,004 |
| Life | Reliance Standard Life Insurance Company | Matthew Nerone | 134 | $1,059 11.0% of $9,630 |
| Voluntary Accident Insurance | Reliance Standard Life Insurance Company | Matthew Nerone | 7 | $231 15.0% of $1,541 |
| Cii | Reliance Standard Life Insurance Company | Matthew Nerone | 7 | $275 15.0% of $1,838 |
| Std | Reliance Standard Life Insurance Company | Matthew Nerone | 5 | $788 20.0% of $3,941 |
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.