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Broker book

Employee One Benefit Solutions

145 W. Ostend St. 2nd Floor, Baltimore, MD 21230 · EIN 20-8205286

Plan year 2021

1 employer · 238 enrolled · Direct (A) $6,678 · Additional (C) $39,539

Employers

Plan year 2021

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

EmployerCoverageCarrierEnrolledDirect (A)Additional (C)
First National Bank Of PaLifeUnited Of Omaha Life Insurance Company238$6,678 · 5.4%$39,539 · $166.13/enrolled

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.