Employer
Family Services Of Nw Pa
5100 Peach Street, Erie, PA 16509 · EIN 25-0987225 · 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 $22,163
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Upmc Health Options | Loesel-Schaaf Insurance | 2 | $143 3.5% of $4,038 |
| Medical | Upmc Health Options | Loesel-Schaaf Insurance | 134 | $7,192 3.6% of $201,247 |
| Medical | Upmc Health Options | Loesel-Schaaf Insurance | 13 | $893 3.4% of $26,551 |
| Dental | Delta Dental Of Pennsylvania | Loesel-Schaaf Insurance | 201 | $8,478 21.9% of $38,783 |
| Vision | Heartland Fidelity Insurance | Loesel-Schaaf Insurance | 211 | $586 5.0% of $11,727 |
| Life | Reliance Life Insurance Company | Loesel-Schaaf Insurance | 114 | $1,049 11.0% of $9,537 |
| Life | Reliance Life Insurance Company | Loesel-Schaaf Insurance | 60 | $1,343 10.0% of $13,427 |
| Other | Reliance Life Insurance Company | Loesel-Schaaf Insurance | 114 | $2,479 14.1% of $17,574 |
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.