Employer
Livengrin Foundation, Inc.
4833 Hulmeville Rd, Bensalem, PA 19020 · EIN 23-1668916 · Jun 1, 2023 to May 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 $11,045
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Independence Blue Cross | Kistler Tiffany Benefits Co | 85 | Comp not disclosed Premium $822,300 |
| Dental | Aetna Life Insurance Company | Brown & Brown Metro LLC | 105 | $2,400 5.7% of $42,319 |
| Vision | Independence Blue Cross | Kistler Tiffany Benefits Co | 97 | Comp not disclosed Premium $7,095 |
| Life | Hartford Life And Accident | Brown & Brown Metro LLC | 109 | $7,852 15.0% of $52,345 |
| Life | Hartford Life And Accident | Brown & Brown Of Pennsylvania | 109 | $793 1.5% of $52,345 |
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.