Employer
Northern Tier Regional Providers Trust
Po Box 93, Monroeton, PA 18832 · EIN 25-6772438 · Dec 1, 2024 to Nov 30, 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 $22,435
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Dental | United Concordia Insurance Company | Henry Dunn Inc | 663 | $22,435 9.5% of $237,118 |
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.