Employer
Indian Creek Foundation
420 Cowpath Road, Souderton, PA 18964 · EIN 23-3330096 · 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 $28,336
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Everest Reinsurance Company | — | — | Comp not disclosed Premium $271 |
| Stop-loss | HM Life Insurance Company | — | 141 | Comp not disclosed Premium $761,169 |
| Vision | Eyemed Vision Care | Patriot Growth Insurance Services | 257 | $2,322 10.0% of $23,144 |
| Life | Hartford Life And Accident | Professional Pensions Inc | 184 | $14,291 9.6% of $149,077 |
| Life | Hartford Life And Accident | Patriot Growth Insurance Services | 184 | $11,723 7.9% of $149,077 |
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 $217,357
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Patriot (Exude, Inc.) | Broker | $86,987 | $616.93 |
| The Benecon Group, LLC | Broker | $27,108 | $192.26 |
| Meritain Health, An Aetna Company | Admin | $93,845 | $665.57 |
| ConnectCare3 | Patient Advocate | $9,417 | $66.79 |