Broker book
Thomas F Hayes
2205 Oregon Pike, Lancaster, PA 17601
Plan year 2022
1 employer · 11 enrolled · Direct (A) $287 · Additional (C) $0
Employers
Plan year 2022
Groups named on this party’s Form 5500 rows for the selected plan year.
| Employer | Coverage | Carrier | Enrolled | Direct (A) | Additional (C) |
|---|---|---|---|---|---|
| Countertek Inc. | Other | Colonial Life & Accident Insurance Company | 11 | $287 · 3.4% | — |
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.