Employer
Jewish Home Of Eastern Pennsylvania
1101 Vine Street, Scranton, PA 18510 · EIN 24-0798701 · Aug 1, 2022 to Jul 31, 2023
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 $2,128
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Great Midwestern Insurance Company | — | 68 | Comp not disclosed Premium $178,549 |
| Dental | The Guardian Life Insurance Company Of America | Andus LLC | 72 | $1,496 4.0% of $37,399 |
| Vision | Heartland | Andus LLC | 78 | $300 5.0% of $6,009 |
| Life | United Of Omaha Life Insurance Company | Andus LLC | 72 | $332 10.0% of $3,317 |
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.