Employer
Integrated Medical Group P.C.
82 Tunnel Road, Pottsville, PA 17901 · EIN 23-2867417 · 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 $9,904
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Dental | United Concordia Insurance Company | — | 286 | Schedule A not provided |
| Dental | United Concordia Insurance Company | — | 286 | Schedule A not provided |
| Vision | Vision Benefits Of America | Brown & Brown Of Pennsylvania | 157 | $865 3.7% of $23,147 |
| Vision | Vision Benefits Of America | The Hdh Group, Inc. | 157 | $265 1.1% of $23,147 |
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.