Employer
Indiana Regional Medical Center
835 Hospital Road, Indiana, PA 15701 · EIN 25-0965404 · Jul 1, 2024 to Jun 30, 2025
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 $127,809
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Vision | Vision Benefits Of America | — | 758 | Comp not disclosed Premium $131,238 |
| Vision | Vision Benefits Of America | — | 372 | Comp not disclosed Premium $36,617 |
| Life | Reliastar Life Insurance Company | Reschini Agency., Inc. | 1299 | $58,606 6.9% of $850,245 |
| Life | Reliastar Life Insurance Company | Mcclain Group LLC | 1299 | $53,812 6.3% of $850,245 |
| Life | Reliastar Life Insurance Company | Plansource Benefits Administration | 1299 | $15,391 1.8% of $850,245 |
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 $-1,015,852
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| United Concordia Companies, Inc | None | $64,207 | $47.63 |
| Highmark | None | $-1,080,059 | $-801.23 |