Employer
Lehigh Retina Specialists, P.C.
1251 S. Cedar Crest Blvd, Suite 307, Allentown, PA 18103 · EIN 23-2847909 · Jan 1, 2024 to Dec 31, 2024
Plan year 2024
View
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 $6,578
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Optum Health (Unimerica Insurance Company) | — | 35 | Comp not disclosed Premium $113,856 |
| Dental | United Concordia Insurance Company | Employee Benefits Consultants, LLC | 40 | $1,265 10.0% of $12,652 |
| Life | Madison National Life Insurance Co. | Employee Benefits Consultants, LLC | 41 | $3,006 12.9% of $23,378 |
| Life | Madison National Life Insurance Co. | North American Benefits Co. | 41 | $2,307 9.9% of $23,378 |
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 $23,861
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Employee Benefits Consultants, LLC | Broker | $11,670 | $284.63 |
| The Benecon Group, LLC | Broker | $10,044 | $244.98 |
| ConnectCare3 | Patient Advocate | $2,147 | $52.37 |