Employer
Eurofins Nsc Us, Inc.
343 West Main Street, Leola, PA 17540 · EIN 27-3225082 · Jan 1, 2024 to Dec 31, 2024
Plan year 2024
Covered lives: 13156
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 $439,474
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Hawaii Medical Service Association | — | 2 | Comp not disclosed Premium $16,269 |
| Medical | Kaiser Foundation Health Plan, Inc. | — | 291 | Comp not disclosed Premium $1,942,177 |
| Medical | Kaiser Foundation Health Plan, Inc. | — | 623 | Comp not disclosed Premium $3,726,723 |
| Life | Lincoln National Life Insurance Company | Ap Benefit Advisors, LLC | 12450 | $317,544 10.0% of $3,175,437 |
| Life | Lincoln National Life Insurance Company | Ap Benefit Advisors, LLC | 12450 | $50,000 1.6% of $3,175,437 |
| Accident | The Lincoln National Life Insurance Company | Ap Benefit Advisors, LLC | 3295 | $10,422 5.6% of $187,127 |
| Critical Illness | The Lincoln National Life Insurance Company | Ap Benefit Advisors, LLC | 2689 | $22,265 5.4% of $408,668 |
| Leave Services | Lincoln National Life Insurance Company | Ap Benefit Advisors, LLC | 12450 | $12,041 5.5% of $220,213 |
| Other | Lincoln National Life Insurance Company | Ap Benefit Advisors, LLC | 12450 | $25,000 2.1% of $1,196,433 |
| Other | Lincoln National Life Insurance Company | Ap Benefit Advisors, LLC | 143 | $2,202 5.4% of $40,813 |
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 $7,480,826
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Capital Advantage Assurance Company | Contract Admin | $5,890,041 | $447.71 |
| Eyemed | Vision Admin | $929,905 | $70.68 |
| Delta Dental Of Pennsylvania | Dental Admin | $379,667 | $28.86 |
| Lincoln National Life Insurance Co | Std Aso Fees | $210,578 | $16.01 |
| Wex Health, Inc. | Fsa Admin Fees | $64,878 | $4.93 |
| Ap Benefit Advisors, LLC | Std Aso Broker Fees | $5,757 | $0.44 |