Employer
Lyons And Hohl, Inc.
1815 Horseshoe Pike, Honey Brook, PA 19344 · EIN 23-2535808 · Dec 1, 2021 to Nov 30, 2022
Plan year 2021
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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 $66,999
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Highmark, Inc. | Creative Benefits, Inc | 104 | $59,051 6.0% of $984,676 |
| Dental | Guardian Life Insurance Company Of America | Creative Benefits, Inc | 107 | $5,099 7.3% of $69,715 |
| Life | Sun Life Assurance Company Of Canada | Creative Benefits, Inc | 109 | $2,849 9.3% of $30,749 |
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 $5,288
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Telemedicine Management, Inc. | None | $5,288 | $48.51 |