Employer
Treesmiths, Inc.
1138 State Route 502, Spring Brook Twp, PA 18444 · EIN 22-3875272 · May 1, 2022 to May 31, 2022
Plan year 2022
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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.
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Dental + Vision | The Guardian Life Insurance Company Of America | — | — | Schedule A not provided |
| Telemedicine | Teledoc | — | — | Schedule A not provided |
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 $11,044
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Trustmark Health Benefits, Inc. | Admin | $7,134 | $24.27 |
| Highmark, Inc. | Admin | $3,910 | $13.30 |