Employer
Philadelphia Academy Charter School
11000 Roosevelt Blvd, Philadelphia, PA 19116 · EIN 23-2998638 · Jul 1, 2022 to Jun 30, 2023
Plan year 2022
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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 $118,354
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Aetna Life Insurance Company | Digital Insurance, Inc. | 286 | $95,158 4.2% of $2,253,421 |
| Medical | Aetna Life Insurance Company | Emerson Reid LLC | 286 | $7,926 0.4% of $2,253,421 |
| Life | United Of Omaha Life Insurance Company | Digital Insurance, Inc. | 161 | $15,270 21.5% of $71,135 |
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.