Employer
New Life Home Health Care Agency
2655 Philmont Avenue, Suite 101, Huntingdon Valley, PA 19006 · EIN 81-0600546 · Aug 1, 2020 to Jul 31, 2021
Plan year 2020
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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 $71,933
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Keystone | — | 53 | Schedule A not provided |
| Medical | Keystone | — | 53 | Schedule A not provided |
| Medical | Independence Blue Cross | — | 77 | Schedule A not provided |
| Medical | Independence Blue Cross | — | 77 | Schedule A not provided |
| Dental | United Concordia Insurance Company | — | 133 | Schedule A not provided |
| Dental | United Concordia Insurance Company | — | 133 | Schedule A not provided |
| Dental | United Concordia Insurance Company | — | 133 | Schedule A not provided |
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.