Employer
Bakery Drivers' Welfare Fund
4240 Steubenville Pike, Pittsburgh, PA 15205 · EIN 25-1004658 · Nov 1, 2024 to Oct 31, 2025
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 $11,343
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | HM Life Insurance Coverage | Fourm Consulting, Inc. | 285 | Comp not disclosed Premium $736,420 |
| Medical | Highmark Inc | Fourm Consulting, Inc. | 285 | $11,000 0.2% of $4,874,108 |
| Dental | Delta Dental Of Pennsylvania | Delaware Valley Health Care Coalit. | 257 | $343 0.5% of $68,576 |
| Life | Dearborn Life Insurance Company | Fourm Consulting, Inc. | 223 | Comp not disclosed Premium $17,002 |
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 $26,788
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Albanese Sinchar Smith & Co | None | $14,288 | $50.13 |
| Jubelirer Pass & Intrieri Pc | None | $12,500 | $43.86 |