Employer
Evangelical Community Hospital
1 Hospital Drive, Lewisburg, PA 17837 · EIN 24-0795411 · Jan 1, 2025 to Jun 30, 2025
Plan year 2025
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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 $2,054
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Esi Employee Assistance Group | Alliant Insurance Services, Inc. | 1928 | $1,912 8.0% of $23,830 |
| Accidental Death And Dismemberment | National Union Fire Ins. Co. Of Pittsburgh, Pa | Sagewell Partners, Inc. | 1848 | $142 15.0% of $946 |
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.