Employer
Titusville Area Hospital
406 West Oak Street, Titusville, PA 16354 · EIN 25-0965579 · 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 $15,546
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Life | Metropolitan Life Insurance Company | Franklin Insurance Agency, Inc. | 124 | $1,407 4.8% of $29,176 |
| Other | Prudential Insurance Company Of America | Reschini Agency., Inc. | 129 | $8,648 10.0% of $86,542 |
| Life | Metropolitan Life Insurance Company | Franklin Insurance Agency, Inc. | 142 | $1,612 4.8% of $33,412 |
| Other | Prudential Insurance Company Of America | Reschini Agency., Inc. | 116 | $3,879 10.0% of $38,727 |
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.