Employer
Penn Treaty Network America Insurance Company
3440 Lehigh Street, Allentown, PA 18103 · EIN 23-2603386 · Jan 1, 2020 to Jun 30, 2020
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 $2,346
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Dental | United Concordia Insurance Company | Equinox Benefits Consulting | 20 | $209 3.0% of $6,956 |
| Vision | Capital Advantage Assurance Company | — | 14 | Comp not disclosed Premium $805 |
| Life | Standard Insurance Company | The Equinox Agency LLC | 9 | $671 11.7% of $5,714 |
| Life | Standard Insurance Company | James R Nelligan & Associates | 9 | $286 5.0% of $5,714 |
| Other | Standard Insurance Company | The Equinox Agency LLC | 9 | $535 15.0% of $3,568 |
| Other | Standard Insurance Company | James R Nelligan & Associates | 9 | $178 5.0% of $3,568 |
| Other | Standard Insurance Company | The Equinox Agency LLC | 9 | $266 15.0% of $1,773 |
| Other | Standard Insurance Company | James R Nelligan & Associates | 9 | $89 5.0% of $1,773 |
| Accident, Critical Illness | Unum Life Insurance Company Of America | The Equinox Agency LLC | 14 | $112 6.0% of $1,860 |
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.