Employer
Pennsylvania Counseling Services
200 North 7th Street, Lebanon, PA 17046 · EIN 25-1776663 · Jan 1, 2025 to Aug 31, 2025
Plan year 2025
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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 $24,666
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Dental | United Concordia Insurance Company | American Insurance Administrators | 398 | $5,708 6.8% of $84,280 |
| Vision | Vision Benefits Of America | American Insurance Administrators | 277 | $2,385 12.0% of $19,874 |
| Other | Madison National Life Insurance Company | — | 159 | Schedule A not provided |
| Other | Madison National Life Insurance Company | — | 159 | Schedule A not provided |
| Other | Kansas City Life Insurance Company | — | 73 | Schedule A not provided |
| Other | Kansas City Life Insurance Company | — | 73 | Schedule A not provided |
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.