Employer
Laurel Eye Clinic, LLP
50 Waterford Pike, Brookville, PA 15825 · EIN 25-1375158 · Apr 1, 2023 to Mar 31, 2024
Plan year 2023
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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 $24,872
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Highmark Inc. | Anderson & Kime Employee Benefits I | 70 | $17,600 1.9% of $911,474 |
| Dental | United Concordia Insurance Company | Daniel J Slater | 49 | $3,194 11.0% of $28,981 |
| Life | Principal Life Insurance Company | Anderson Kime Employee Benefits | 97 | $4,078 11.7% of $34,949 |
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.