Employer
Grand View Hospital
P.O. Box 902, Sellersville, PA 18960 · EIN 23-1352181 · Jan 1, 2024 to Dec 31, 2024
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 $29,475
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Metropolitan Life Insurance Company | — | 318 | Comp not disclosed Premium $70,869 |
| Vision | Vision Service Plan | — | 1081 | Comp not disclosed Premium $196,825 |
| Life | Reliastar Life Insurance Company | Aon Consulting, Inc. | 1890 | $29,475 12.0% of $245,432 |
| Other | Metropolitan Life Insurance Company | — | 1168 | Comp not disclosed Premium $273,287 |
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.