Employer
Grove City Health System
631 North Broad Street, Grove City, PA 16127 · EIN 32-0070801 · Jan 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 $21,625
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Life | Reliance Standard Life Insurance Company | Gallagher Fiduciary Advisors, LLC | 259 | $2,235 17.1% of $13,076 |
| Other | Reliance Standard Life Insurance Company | Gallagher Fiduciary Advisors, LLC | 259 | $7,276 17.1% of $42,597 |
| Other | Reliance Standard Life Insurance Company | Gallagher Fiduciary Advisors, LLC | 259 | $12,114 17.1% of $70,935 |
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.