Employer
Lebanon Internal Medicine Associates, P.C.
825 Norman Drive, Lebanon, PA 17042 · EIN 23-1899529 · 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 $14,194
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Dental | Delta Dental Of Pennsylvania | — | 113 | Schedule A not provided |
| Dental | Delta Dental Of Pennsylvania | — | 113 | Schedule A not provided |
| Dental | Delta Dental Of Pennsylvania | — | 113 | Schedule A not provided |
| Vision | Nva | — | 118 | Schedule A not provided |
| Life | United Of Omaha Life Insurance Company | Emerson Rogers LLC | 78 | $2,451 15.0% of $16,340 |
| Other | American United Life Insurance Company | — | 68 | Schedule A not provided |
| Other | Standard Insurance Company | Acrisure, LLC DBA Ashton Benefits | 78 | $4,465 10.2% of $43,729 |
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.