Employer
Kipp Philadelphia Charter School
5070 Parkside Avenue, Suite 3500 D, Philadelphia, PA 19131 · EIN 05-0546103 · Jul 1, 2022 to Jun 30, 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 $124,185
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Keystone | Gallagher Fiduciary Advisors, LLC | 317 | $69,340 2.7% of $2,575,484 |
| Medical | Independence Blue Cross | Gallagher Fiduciary Advisors, LLC | 221 | $27,332 1.4% of $1,917,830 |
| Life | Standard Insurance Company | Gallagher Fiduciary Advisors, LLC | 395 | $27,513 13.3% of $207,378 |
| Telehealth | Strive | — | 104 | Comp not disclosed Premium $6,672 |
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.