Employer
Lehigh Valley Association Of Independent Colleges
116 Research Drive, Bethlehem, PA 18015 · EIN 23-7077479 · Jan 1, 2024 to Dec 31, 2024
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 $68,493
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Symetra Life Insurance Company | Usi Ins Services LLC | 173 | $9,258 3.0% of $311,208 |
| Stop-loss | Symetra Life Insurance Company | Usi Ins Services LLC | 366 | $22,968 3.0% of $768,750 |
| Stop-loss | Symetra Life Insurance Company | Usi Ins Services LLC | 352 | $19,315 3.0% of $640,068 |
| Stop-loss | Symetra Life Insurance Company | Usi Ins Services LLC | 407 | $16,952 3.0% of $557,753 |
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 $679,802
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Capital Advantage Assurance Company | Contract Administrator | $380,263 | $280.84 |
| Usi Insurance Services | Consultant | $175,000 | $129.25 |
| Magellan Rx Management, LLC | Pharmacy Benefit Manageme | $68,173 | $50.35 |
| Baker Tilly Us, LLP | Auditor | $24,175 | $17.85 |
| Rxbenefits | None | $16,519 | $12.20 |
| Travels Insurance | None | $15,672 | $11.57 |