Employer
Pa Options For Wellness, Inc
4711 Queen Avenue, Harrisburg, PA 17109 · EIN 47-5026829 · 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 $4,895
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Granular Insurance Company | — | 108 | Comp not disclosed Premium $289,421 |
| Dental + Vision | Highmark, Inc | Gunn Mowery, LLC | 125 | $3,208 6.1% of $52,247 |
| Dental + Vision | Highmark, Inc | Wevodau, Gerry | 125 | $1,325 2.5% of $52,247 |
| Dental + Vision | Highmark, Inc | Emerson Reid LLC | 125 | $362 0.7% of $52,247 |
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.
Visible subtotal $108,675
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Gunn-Mowery LLC | Broker | $43,120 | $344.96 |
| Wellnet Healthcare Administrators | Admin | $65,555 | $524.44 |