Employer
Eye Care Specialists, P.C.
703 Rutter Avenue, Kingston, PA 18704 · EIN 23-2460617 · Jul 1, 2020 to Dec 31, 2020
Plan year 2020
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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 $8,400
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Highmark | The Benecon Group, Inc. | 103 | $7,040 1173.3% of $600 |
| Dental | Delta Dental Of Pennsylvania | Brown & Brown Of New York Inc | 170 | $1,360 5.0% of $27,197 |
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.