Employer
Mount Nittany Medical Center
1800 East Park Avenue, State College, PA 16803 · EIN 24-0795682 · Jan 1, 2024 to Dec 31, 2024
Plan year 2024
View
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 $519,702
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Dental | Highmark, Inc. | Martin Ray Miracle | 3125 | $31,354 3.2% of $984,122 |
| Vision | Vision Benefits Of America | — | 1107 | Comp not disclosed Premium $113,005 |
| Life | The Lincoln National Life Insurance Company | Martin R. Miracle | 1873 | $429,501 15.0% of $2,863,342 |
| Life | The Lincoln National Life Insurance Company | Usi Insurance Services (Ri) | 1873 | $58,847 2.1% of $2,863,342 |
| Employee Assistance Program | Carebridge Corporation | — | 2578 | Comp not disclosed Premium $31,486 |
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.