Employer
Matrix Behavior Solutions, LLC
175 East Brown Street, East Stroudsburg, PA 18301 · EIN 82-5397126 · Jun 1, 2024 to May 31, 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 $7,923
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Highmark Blue Cross Blue Shield | — | 148 | Schedule A not provided |
| Dental | United Concordia Insurance Company | — | 203 | Schedule A not provided |
| Dental | United Concordia Insurance Company | — | 203 | Schedule A not provided |
| Dental + Vision | Metropolitan Life Insurance Company | Sequoia Benefits, LLC | 192 | $4,554 52.9% of $8,611 |
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.