Employer
Prn Physician Recommended Nutriceuticals
980 Harvest Dr B205, Blue Bell, PA 19422 · EIN 61-1741017 · Jan 1, 2025 to Dec 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 $16,553
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Optum Health (Unimerica Insurance Company) | — | — | Comp not disclosed Premium $305 |
| Stop-loss | Crum & Forster | — | 107 | Comp not disclosed Premium $512,218 |
| Dental + Vision | Aetna Life Insurance Co. | Hub International | 216 | $8,678 10.0% of $86,865 |
| Dental + Vision | Aetna Life Insurance Co. | Fna Insurance Services, Inc. | 216 | $4,307 5.0% of $86,865 |
| Life | Unitedhealthcare Insurance Company | Fna Insurance Services, Inc. | 132 | $3,568 5.0% of $71,360 |
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 $175,120
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| The Benecon Group | Broker | $98,931 | $924.59 |
| Hub Int. (Pitt) | Broker | $39,946 | $373.33 |
| Aetna Health Plans | Admin | $36,243 | $338.72 |