Employer

Audacy Operations, Inc.

2400 Market Street, Philadelphia, PA 19103 · EIN 23-1701044 · Jan 1, 2021 to Dec 31, 2021

Plan year 2021

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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 $181,162

Coverage	Carrier	Broker	Lives	Direct comp
Medical	Kaiser Foundation Health Plan Inc	Gordon W St John	96	$12,228 2.7% of $445,658
Medical	Kaiser Foundation Health Plan Inc	Gordon W St John	68	$9,478 2.7% of $350,947
Medical	Life Insurance Company Of North America	Pentra LLC	2449	$19,252 15.0% of $128,346
Medical	Life Insurance Company Of North America	National Benefit Center	2449	$2,129 1.7% of $128,346
Medical	Life Insurance Company Of North America	Pentra LLC	1426	$35,011 15.0% of $233,409
Medical	Life Insurance Company Of North America	National Benefit Center	1426	$3,914 1.7% of $233,409
Medical	Life Insurance Company Of North America	Pentra LLC	1705	$23,334 15.0% of $155,561
Medical	Life Insurance Company Of North America	National Benefit Center	1705	$2,586 1.7% of $155,561
Vision	Fidelity Security Life Insurance Company	Pentra, LLC	4485	$20,358 10.8% of $188,166
Vision	Fidelity Security Life Insurance Company	Pentra, LLC	182	$1,403 10.8% of $12,967
Life	Life Insurance Company Of North America	Pentra LLC	4496	$19,499 14.1% of $138,608
AD&D	Life Insurance Company Of North America	Pentra LLC	3969	$4,602 22.9% of $20,091
Other	Life Insurance Company Of North America	Pentra LLC	846	$11,663 23.4% of $49,857
Other	Life Insurance Company Of North America	Pentra LLC	3470	$11,258 14.3% of $78,707
Legal	Metlife Legal Plans	Pentra, Inc.	231	$4,447 10.1% of $43,824

Schedule C

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.

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