Employer
Waverly Heights Ltd
1400 Waverly Road, Gladwyne, PA 19035 · EIN 23-2212842 · Mar 1, 2024 to Feb 28, 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 $36,091
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Independence Blue Cross | Emerson Rogers LLC | 255 | $21,967 1.0% of $2,095,367 |
| Dental | The Lincoln National Life Insurance Company | Usi Insurance Services (Ri) | 200 | $9,056 5.0% of $180,619 |
| Dental | The Lincoln National Life Insurance Company | Usi Insurance Services (Ri) | 200 | $5,068 2.8% of $180,619 |
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.