Employer
Alvord-Polk, Inc.
Po Box 97, Millersburg, PA 17061 · EIN 23-2046694 · Jan 1, 2024 to Dec 31, 2024
Plan year 2024
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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 $23,589
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Capital Advantage Assurance Company | Usi Insurance Services (Ri) | 106 | $19,140 2.0% of $954,445 |
| Dental | United Concordia Insurance Company | Usi Insurance Services (Ri) | 89 | $216 1.0% of $21,666 |
| Vision | Capital Advantage Assurance Company | Usi Insurance Services (Ri) | 146 | $122 2.0% of $6,098 |
| Life | Unitedhealthcare Insurance Company | Usi Insurance Services (Ri) | 137 | $601 10.0% of $6,009 |
| Other | Capital Advantage Assurance Company | Usi Insurance Services (Ri) | 106 | $3,510 2.0% of $175,013 |
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.