Employer
Vibra Healthcare, LLC
4600 Lena Drive, Mechanicsburg, PA 17055 · EIN 05-0602943 · Jun 1, 2024 to May 31, 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 $442,911
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Kaiser Foundation Health Plan Of The Northwest | American Ins. Administrators, Inc. | 40 | $7,775 2.6% of $303,877 |
| Medical | Kaiser Foundation Health Plan, Inc. | American Ins. Administrators, Inc. | 382 | $174,090 2.9% of $5,990,697 |
| Vision | Eyemed Vision Care On Behalf Of Fidelity Security Life Insurance Co. | American Insurance Administrators | 5641 | $10,986 5.5% of $200,099 |
| Life | Prudential Insurance Company Of America | American Insurance Administrators | 2822 | $86,771 5.4% of $1,600,613 |
| Life | Prudential Insurance Company Of America | American Ins. Administrators, Inc. | 2822 | $34,177 2.1% of $1,600,613 |
| Legal | Metlife Legal Plans | Aia Benefits Resource | 270 | $8,613 10.4% of $83,055 |
| Accident, Hospital, Critical Illness | Unum Insurance Company | American Ins. Administrators, Inc. | 684 | $89,666 15.9% of $564,456 |
| Accident, Hospital, Critical Illness | Unum Insurance Company | Agm Benefits | 684 | $30,833 5.5% of $564,456 |
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.