Employer
Westinghouse Lighting L.P.
12401 Mcnulty Road, Philadelphia, PA 19154 · EIN 46-3154652 · Mar 1, 2022 to Feb 28, 2023
Plan year 2022
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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 $12,044
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Dental | United Concordia Insurance Company | Assured Partners (Central Pa) | 73 | $5,465 10.0% of $54,919 |
| Life | The Lincoln National Life Insurance Company | Assured Partners (Central Pa) | 92 | $3,104 10.0% of $31,041 |
| Life | The Lincoln National Life Insurance Company | Assured Partners (Central Pa) | 92 | $1,029 3.3% of $31,041 |
| Other | The Lincoln National Life Insurance Company | Assured Partners (Central Pa) | 49 | $1,859 10.0% of $18,594 |
| Other | The Lincoln National Life Insurance Company | Assured Partners (Central Pa) | 49 | $587 3.2% of $18,594 |
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.
Visible subtotal $1,437,474
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Wellnet | Medical/Rx Fees | $1,051,715 | $9,921.84 |
| Wellnet | Stop Loss | $349,340 | $3,295.66 |
| Wellnet | Ppo/Tpa Fees | $36,419 | $343.58 |