Employer
Leeds Health Care Services, Inc., DBA Nottingham Village
58 Neitz Road, Northumberland, PA 17857 · EIN 83-0378052 · Feb 1, 2025 to Jan 31, 2026
Plan year 2025
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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 $14,681
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Dental + Vision | Sun Life Assurance Company Of Canada | Assuredpartners Of Florida LLC | 101 | $4,367 10.0% of $43,636 |
| Life | Standard Insurance Company | Assured Partners (Central Pa) | 202 | $10,314 39.0% of $26,478 |
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.
Visible subtotal $125,257
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Luminare Health Benefits, Inc. | Tpa Fees | $68,577 | $339.49 |
| Ap Benefit Advisors, LLC | Med/Rx Broker Fees | $32,700 | $161.88 |
| Highmark, Inc. | Med/Rx Admin Fees | $23,980 | $118.71 |