Employer
Nemacolin Woodlands, Inc.
1001 Lafayette Drive, Farmington, PA 15437 · EIN 25-1891356 · 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 $111,239
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Highmark Inc. | James J. Patton | 674 | $81,220 1.6% of $4,954,092 |
| Dental | Sun Life Assurance Company Of Canada | Gallagher Fiduciary Advisors, LLC | 491 | $26,047 6.4% of $405,633 |
| Vision | Eyemed Vision Care On Behalf Of Fidelity Security Life Insurance Co. | Gallagher Fiduciary Advisors, LLC | 676 | $1,265 2.0% of $63,249 |
| Employee Assistance Program | Lytle Behavioral Health | — | 900 | Schedule A not provided |
| Hospital | Hartford Life And Accident | Gallagher Fiduciary Advisors, LLC | 144 | $2,707 16.3% of $16,641 |
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.