Employer
Skytop Lodge Corporation
One Skytop Lodge Road, Skytop, PA 18357 · EIN 23-3012947 · Jul 1, 2024 to Jun 30, 2025
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 $17,579
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Highmark Inc | Creative Benefits, Inc | 97 | $3,708 0.6% of $657,377 |
| Dental | United Concordia Insurance Company | Kistler Tiffany Benefits Co | 108 | $3,772 9.1% of $41,491 |
| Dental | United Concordia Insurance Company | Creative Benefits, Inc | 108 | $524 1.3% of $41,491 |
| Vision | Visions Benefits Of America | Creative Benefits, Inc | 83 | $563 10.0% of $5,635 |
| Life | United Of Omaha Life Insurance Company | Creative Benefits, Inc | 168 | $4,702 18.3% of $25,743 |
| Life | United Of Omaha Life Insurance Company | Creative Benefits, Inc | 45 | $2,930 18.4% of $15,958 |
| Other | United Of Omaha Life Insurance Company | Creative Benefits, Inc | 29 | $1,219 20.8% of $5,850 |
| Other | United Of Omaha Life Insurance Company | Creative Benefits, Inc | 59 | $161 3.2% of $4,993 |
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.