Employer
Highlands Hospital
401 E Murphy Ave, Connellsville, PA 15425 · EIN 25-1494705 · Jan 1, 2022 to Dec 31, 2022
Plan year 2022
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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 $46,348
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Unitedhealthcare Insurance Company | Henderson Brothers Inc. | 408 | $26,786 1.8% of $1,516,016 |
| Life | Reliance Standard Life Insurance Company | Henderson Brothers Inc. | 309 | $2,720 10.6% of $25,692 |
| Other | Reliance Standard Life Insurance Company | Henderson Brothers Inc. | 270 | $5,873 13.0% of $45,156 |
| Other | Reliance Standard Life Insurance Company | Henerson Brothers, Inc. | 256 | $10,969 7.3% of $150,890 |
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.