Employer
Pulmonary Associates Of Lancaster, Ltd.
540 North Duke Street, Lancaster, PA 17602 · EIN 23-2248354 · Dec 1, 2024 to Dec 31, 2024
Plan year 2024
Covered lives: 39
Schedule A
Direct compensation
Coverage contracts on the filing. If the carrier did not provide Schedule A, the row is listed with that note.
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Optum Health (Unimerica Insurance Company) | — | 38 | Comp not disclosed Premium $15,965 |
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 $1,347
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| The Benecon Group | Broker | $950 | $24.36 |
| Valhalla Business Advisors | Broker | $950 | $24.36 |
| ConnectCare3 | Patient Advocate | $207 | $5.31 |
| Capital Bluecross | Admin | $-760 | $-19.49 |