Employer
Valley Special Needs (Valley Community Services)
531 N. Church Street Rear, Mt. Pleasant, PA 15666 · EIN 25-1292796 · Jul 1, 2024 to Jun 30, 2025
Plan year 2024
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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 $30,548
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Berkley Life And Health Insurance Co. | — | 138 | Comp not disclosed Premium $349,432 |
| Medical | American Fidelity Assurance Company | American Fidelity Assurance Co | 80 | $-149 -0.3% of $47,140 |
| Medical | American Fidelity Assurance Company | Alera Group DBA Coury Health Srvcs | 80 | $1,821 3.9% of $47,140 |
| Dental | Metropolitan Life Insurance Company | Coury Health Services, LLC | 441 | $20,333 10.9% of $186,391 |
| Dental | Metropolitan Life Insurance Company | American Insurance Administrators | 441 | $25 0.0% of $186,391 |
| Dental | Metropolitan Life Insurance Company | Alera General Agency | 441 | $8,050 4.3% of $186,391 |
| Vision | Vision Benefits Of America | Coury Health Services, LLC | 180 | $468 2.3% of $20,443 |
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.