Employer
American Bridge Company
1000 American Bridge Way, Coraopolis, PA 15108 · EIN 25-1607500 · Jan 1, 2022 to Dec 31, 2022
Plan year 2022
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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 $22,863
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Dental | Delta Dental Of Pennsylvania | Highmark, Inc. | 157 | $6,719 5.0% of $134,372 |
| Vision | Vision Benefits Of America | Highmark, Inc. | 86 | $2,937 18.8% of $15,612 |
| Vision | Vision Benefits Of America | Highmark, Inc. | 65 | $1,726 19.9% of $8,681 |
| Life | The Lincoln National Life Insurance Company | Highmark, Inc. | 252 | $2,543 3.7% of $68,128 |
| Life | The Lincoln National Life Insurance Company | Highmark, Inc. | 46 | $3,927 15.5% of $25,403 |
| Other | The Lincoln National Life Insurance Company | Highmark, Inc. | 123 | $3,934 8.2% of $47,950 |
| Other | The Lincoln National Life Insurance Company | Highmark, Inc. | 26 | $1,077 13.2% of $8,155 |
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.
Visible subtotal $164,192
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Henderson Brothers Inc. | None | $164,192 | $651.56 |