Employer
Mount Nittany Physician Group
1850 East Park Avenue, State College, PA 16803 · EIN 51-0426500 · Jan 1, 2024 to Dec 31, 2024
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 $128,982
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Dental | Highmark Inc. | Usi Insurance Services (Ri) | 613 | $10,164 3.2% of $316,725 |
| Vision | Vision Benefits Of America | — | 1107 | Comp not disclosed Premium $113,005 |
| Life | The Lincoln National Life Insurance Company | Usi Insurance Services (Ri) | 552 | $4,491 3.1% of $143,953 |
| Life | The Lincoln National Life Insurance Company | Usi Insurance Services (Ri) | 552 | $21,593 15.0% of $143,953 |
| Other | The Lincoln National Life Insurance Company | Usi Insurance Services (Ri) | 487 | $5,620 2.2% of $259,500 |
| Other | The Lincoln National Life Insurance Company | Usi Insurance Services (Ri) | 487 | $38,925 15.0% of $259,500 |
| Other | The Lincoln National Life Insurance Company | Usi Insurance Services (Ri) | 552 | $8,125 3.0% of $267,094 |
| Other | The Lincoln National Life Insurance Company | Usi Insurance Services (Ri) | 552 | $40,064 15.0% of $267,094 |
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.