Employer
Pennsylvania Psychiatric Institute
2501 North 3rd Street, Harrisburg, PA 17110 · EIN 26-1699000 · Jan 1, 2023 to Dec 31, 2023
Plan year 2023
View
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 $124,609
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Highmark, Inc. | Scott J Fair | — | $38,837 1.3% of $3,031,245 |
| Medical | Highmark, Inc. | Usi Insurance Services (Ri) | — | $35,335 1.2% of $3,031,245 |
| Dental | Delta Dental Of Pennsylvania | Usi Insurance Services (Ri) | — | $7,392 4.0% of $184,789 |
| Vision | Heartland | Usi Insurance Services (Ri) | — | $556 2.3% of $24,707 |
| Life | Prudential Insurance Company Of America | Usi Insurance Services (Ri) | — | $23,588 10.9% of $216,270 |
| Life | Prudential Insurance Company Of America | Img | — | $59 0.0% of $216,270 |
| Other | Highmark, Inc. | Scott J Fair | — | $9,854 1.3% of $769,387 |
| Other | Highmark, Inc. | Usi Insurance Services (Ri) | — | $8,988 1.2% of $769,387 |
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.