Employer
Amcp Clean Acquisition Company, LLC D/B/A Purestar Linen Group
2000 Market Street, Philadelphia, PA 19103 · EIN 61-1721638 · 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 $32,498
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Dental + Vision | Aetna Life Insurance Co. | Aon Risk Service Central, Inc. | 716 | $10,294 5.2% of $199,840 |
| Life | Hartford Life And Accident | Aon Consulting, Inc. | 2604 | $9,366 24.1% of $38,926 |
| Other | Metropolitan Life Insurance Company | Brian Patten | 40 | $9,059 6.0% of $151,919 |
| Other | Metropolitan Life Insurance Company | Custom Benefit Programs Inc | 40 | $3,050 2.0% of $151,919 |
| Other | Metropolitan Life Insurance Company | Plansource Benefits Administration | 40 | $729 0.5% of $151,919 |
| Medical | Hmsa Health Plan | — | 1337 | Comp not disclosed Premium $4,347,565 |
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.