Employer
Ibew Local 812 Health And Welfare Fund
3461 Market St, Ste 102, Camp Hill, PA 17011 · EIN 23-2369223 · 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 $6,173
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Dental | The Guardian Life Insurance Company Of America | Creative Benefits, Inc | 68 | $6,146 12.8% of $48,021 |
| Dental | The Guardian Life Insurance Company Of America | Independence Planning Group LLC | 68 | $27 0.1% of $48,021 |
| Vision | National Vision Administrators, LLC | — | — | Schedule A not provided |
| Life | The Union Labor Life Insurance Co | — | 94 | Comp not disclosed Premium $22,006 |
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 $125,340
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Segal Consulting | None | $65,000 | $515.87 |
| Path Administrators | None | $26,934 | $213.76 |
| Meyer, Unkovic & Scott LLP | None | $21,325 | $169.25 |
| Packer Thomas | None | $12,081 | $95.88 |