Employer
Southeastern Home Health Services
1501 Grundy'S Lane, Bristol, PA 19007 · EIN 23-2470584 · Jan 1, 2021 to Dec 31, 2021
Plan year 2021
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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 $49,204
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Dental | Delta Dental Of Pennsylvania | The Plexus Groupe LLC | 507 | $7,948 5.2% of $153,646 |
| Vision | Unitedhealthcare Insurance Company | The Plexus Groupe LLC | 262 | $52 4.5% of $1,161 |
| Life | Metropolitan Life Insurance Company | The Plexus Groupe LLC | 345 | $41,204 10.8% of $382,554 |
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.