Employer
Priority Healthcare Group LLC
1510 Chesterpike Baldwin Tower, Crum Lynne, PA 19022 · EIN 81-1611441 · Jan 1, 2024 to Dec 31, 2024
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 $20,368
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Sun Life Assurance Company Of Canada | Wertzberger, Ben-Zion | 153 | $20,368 10.9% of $186,762 |
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.
Visible subtotal $279,300
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| American Plan Administrators | Contract Administrator | $142,800 | $600.00 |
| Eagle Risk Services LLC | Third Party Administrator | $120,000 | $504.20 |
| Fasten Halberstam LLP | Plan Auditor | $16,500 | $69.33 |