Employer
Union-Snyder Agency On Aging, Inc
116 N 2nd Street, Lewisburg, PA 17837 · EIN 30-0232961 · 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.
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Everest Reinsurance Company | — | — | Comp not disclosed |
| Dental | United Concordia Life And Health Insurance Company | Pci Insurance Agency | — | Comp not disclosed |
| Vision | Vision Benefits Of America | Pci Insurance Agency | — | Comp not disclosed |
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 $5,198
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Capital Advantage Assurance Company | Administrator | $5,198 | $259.90 |