Employer
Eagleville Hospital
100 Eagleville Road, Eagleville, PA 19403 · EIN 23-1352115 · Oct 1, 2024 to Sep 30, 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 $19,814
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Sun Life Assurance Company | — | 151 | Comp not disclosed Premium $534,502 |
| Dental | Delta Dental Of Pennsylvania | — | 175 | Schedule A not provided |
| Life | Hartford Life And Accident | Bsi Corporate Benefits, Inc. | 183 | $13,047 8.6% of $151,565 |
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.
Visible subtotal $191,663
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Bsi Corporate Benefits | Broker | $102,608 | $523.51 |
| The Benecon Group, LLC | Broker | $38,754 | $197.72 |
| Innovu | Broker | $8,007 | $40.85 |
| Independence Administrators | Admin | $23,106 | $117.89 |
| Hy Holdings, Inc. | Admin | $19,188 | $97.90 |