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Broker book

Delta Dental

One Delta Drive, Mechanicsburg, PA 17055 · EIN 86-0274899

Plan year 2020

1 employer · 830 enrolled · Direct (A) $14,169 · Additional (C) $0

Employers

Plan year 2020

Groups named on this party’s Form 5500 rows for the selected plan year.

EmployerCoverageCarrierEnrolledDirect (A)Additional (C)
Ironworkers Local 549-550 Medical And Benefit PlanOtherDelta Dental Of West Virginia830$14,169

About these columns

Direct (A) — Carrier-contract commissions from Schedule A. Not averaged with Schedule C.

Additional (C) — Plan-paid amounts from Schedule C. Shown as total and $ / enrolled / year.