Employer
Vitalyst, LLC
One Bala Plaza, Bala Cynwyd, PA 19004 · EIN 20-3530443 · May 1, 2024 to Apr 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 $39,049
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Unitedhealthcare Insurance Company | Mercer (Us), Inc. | 138 | $15,576 1.3% of $1,187,138 |
| Medical | Unitedhealthcare Insurance Company | Hub International | 138 | $14,023 1.2% of $1,187,138 |
| Medical | Unitedhealthcare Insurance Company | Hub International | 138 | $1,201 0.1% of $1,187,138 |
| Life | Unitedhealthcare Insurance Company | Mercer (Us), Inc. | 120 | $4,622 7.3% of $63,470 |
| Life | Unitedhealthcare Insurance Company | Hub International | 120 | $3,627 5.7% of $63,470 |
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.