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Employer

Primary Care Associates Of Butler

1 Hospital Way, Butler, PA 16001 · EIN 25-1351445 · Jan 1, 2022 to Dec 31, 2022

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.

CoverageCarrierBrokerLivesDirect comp
Stop-lossHMHenderson Brothers Inc.31
Comp not disclosed
Premium $10,066
VisionVba31
Comp not disclosed
Premium $4,570

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.