Employer
Valley Crest Nursing, Inc. DBA Timber Ridge Health Care Center
200 Dryden Road, Dresher, PA 19025 · EIN 20-5540237 · Jan 1, 2021 to Apr 30, 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 $1,010
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Geisinger Health Plan | — | 44 | Comp not disclosed Premium $116,901 |
| Vision | Eyemed Vision Care Obo The Fidelity Security Life Ins. Co. | Willis Of New Jersey, Inc. | 56 | $89 8.8% of $1,017 |
| Worksite Benefits | Aflac | Various - See Attached | 28 | $921 8.6% of $10,703 |
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.