Employer
Eurofins Nsc Us, Inc.
343 W. Main Street, Leola, PA 17640 · EIN 62-1098733 · Jan 1, 2021 to Dec 31, 2021
Plan year 2021
View
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 $398,371
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Kaiser Foundation Health Plan Inc | — | 256 | Comp not disclosed Premium $1,261,517 |
| Medical | Kaiser Foundation Health Plan Inc | — | 480 | Comp not disclosed Premium $2,531,940 |
| Life | Sun Life Assurance Company Of Canada | Assured Partners (Central Pa) | 11730 | $398,371 8.4% of $4,717,135 |
| Ny Disability, Paid Family Leave | Sun Life And Health Insurance Company | — | 368 | Comp not disclosed Premium $114,510 |
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 $1,593,124
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Eyemed | Vision Admin | $937,216 | $71.27 |
| Sun Life Assurance Company Of Ca | Admin Fees | $475,620 | $36.17 |
| Delta Dental Of Pennsylvania | Dental Admin | $336,200 | $25.57 |
| Isolved Hcm, LLC | Cobra/Fsa Admin | $142,542 | $10.84 |
| Capital Advantage Assurance Co. | Med/Rx Admin | $-298,454 | $-22.70 |