Employer
Penndel Mental Health Center
2005 Cabot Blvd West, Langhorne, PA 19047 · EIN 23-1913286 · May 1, 2024 to Apr 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 $52,671
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Independence Blue Cross | Emerson Rogeres, LLC | 128 | $50,041 4.4% of $1,124,777 |
| Dental | The Lincoln National Life Insurance Company | Usi Insurance Services (Ri) | 131 | $2,236 2.6% of $85,501 |
| Vision | Vision Benefits Of America | Usi Insurance Services (Ri) | 98 | $394 5.0% of $7,873 |
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.