Employer
Gaming And Leisure Properties, Inc.
845 Berkshire Boulevard, Wyomissing, PA 19610 · EIN 46-2116489 · Jan 1, 2021 to Dec 31, 2021
Plan year 2021
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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 $9,279
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | HM Life Insurance Company | Patriot (Power-Kunkle Group, Inc.) | 161 | Comp not disclosed Premium $361,794 |
| Dental | Metropolitan Life Insurance Company | — | 307 | Comp not disclosed Premium $132,764 |
| Life | Symetra Life Insurance Company | Patriot (Power-Kunkle Group, Inc.) | 210 | $6,999 5.5% of $126,425 |
| Voluntary Emp. Accident, Ci, Hospital Confinement, Dep. Ci | Reliastar Life Insurance Company | Empyrean Insurance Services Inc | 59 | $2,280 4.9% of $46,409 |
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 $132,146
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Highmark | Admin | $119,577 | $211.27 |
| Vision Service Plan | Admin | $8,381 | $14.81 |
| Rxbenefits | Admin | $4,188 | $7.40 |