Employer
Willow Valley Communities
100 Willow Valley Lakes Drive, Willow Street, PA 17584 · EIN 23-2226098 · Jan 1, 2025 to Dec 31, 2025
Plan year 2025
Covered lives: 1400
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 $188,453
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | HM Life Insurance Company | Ingroup Associates LLC | 691 | $65,033 6.2% of $1,041,342 |
| Stop-loss | HM Life Insurance Company | American Insurance Adminstrators | 691 | $31,144 3.0% of $1,041,342 |
| Medical | Highmark, Inc. | — | 860 | Comp not disclosed |
| Dental | Delta Dental Of Pennsylvania | — | 378 | Comp not disclosed Premium $47,339 |
| Dental | Delta Dental Of Pennsylvania | — | 704 | Comp not disclosed Premium $196,341 |
| Life | Hartford Life And Accident | Aia American Insurance | 860 | $8,553 3.9% of $220,542 |
| Life | Hartford Life And Accident | Alera Group, Inc | 860 | $2,498 1.1% of $220,542 |
| Life | Hartford Life And Accident | — | 860 | Comp not disclosed Premium $220,542 |
| Life | Transamerica Life Insurance Company | Agm Benefits Alera Group Agency LLC | 860 | $54,575 25.3% of $215,302 |
| Life | Transamerica Life Insurance Company | Ingroup Associates LLC | 860 | $26,650 12.4% of $215,302 |
| Employee Assistance Program | Mazzitti & Sullivan Counseling Services, Inc. | — | 1400 | Comp not disclosed Premium $27,720 |
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.