Employer
Lycoming Clinton Counties Commission For Community Action Step, Inc.
2138 Lincoln Street, Williamsport, PA 17701 · EIN 23-1668784 · 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 $30,051
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Dental | Guardian | Creative Benefits, Inc | 195 | $6,112 10.0% of $61,122 |
| Dental | Guardian | Onedigital Premier Services LLC | 195 | $3,056 5.0% of $61,122 |
| Dental | Guardian | Onedigital (Philadelphia) | 195 | $2,294 3.8% of $61,122 |
| Vision | Vision Benefits Of America | — | 198 | Comp not disclosed Premium $14,962 |
| Life | United Of Omaha Life Insurance Company | Creative Benefits, Inc | 233 | $1,427 18.1% of $7,896 |
| Life | United Of Omaha Life Insurance Company | Creative Benefits, Inc | 44 | $2,271 17.9% of $12,702 |
| Other | United Of Omaha Life Insurance Company | Creative Benefits, Inc | 233 | $5,011 18.0% of $27,811 |
| Other | United Of Omaha Life Insurance Company | Creative Benefits, Inc | 233 | $9,880 18.0% of $54,822 |
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.