Employer
Gaudenzia Erie, Inc.
2005 West 8th Street, Suite 202, Erie, PA 16505 · EIN 23-3083410 · 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 $31,476
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Highmark Inc. | Lillis Mckibben Bongiovanni & Co (L | 74 | $19,294 1.9% of $1,038,139 |
| Dental | Delta Dental Of Pennsylvania | Lillis Mckibben Bongiovanni & Co (L | 216 | $3,567 6.3% of $56,931 |
| Vision | Vision Benefits Of America | Lillis Mckibben Bongiovanni & Co (L | 94 | $724 6.3% of $11,537 |
| Vision | Vision Benefits Of America | Lillis Mckibben Bongiovanni & Co (L | 91 | $206 3.5% of $5,879 |
| Life | Hartford Life And Accident | Lillis Mckibben Bongiovanni & Co (L | 112 | $4,119 12.0% of $34,327 |
| Life | Hartford Life And Accident | Lillis Mckibben Bongiovanni & Co (L | 89 | $3,566 12.0% of $29,719 |
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.