Employer
Northeast Pennsylvania Center For Independent Living
1142 Sanderson Avenue, Scraton, PA 18509 · EIN 23-2525528 · 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 $151,369
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Cigna Health And Life Insurance Company | Doherty Benefits | 183 | $92,905 4.2% of $2,193,878 |
| Medical | Cigna Health And Life Insurance Company | Emerson Rogers LLC | 183 | $42,128 1.9% of $2,193,878 |
| Vision | National Vision Administrators | Doherty Benefits LLC | 247 | $804 10.0% of $8,041 |
| Life | Life Insurance Company Of North America | Triben Insurance Solutions | 135 | $15,532 15.0% of $103,591 |
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.