Employer
Blair Supply, Inc
Po Box 249, Duncansville, PA 16635 · EIN 25-1590928 · Jul 1, 2022 to Mar 29, 2023
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 $6,150
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Life | United Of Omaha Life Insurance Company | Lr Webber | 34 | $1,961 18.4% of $10,673 |
| Life | United Of Omaha Life Insurance Company | Leavitt Group Insurance Advisors | 34 | $68 0.6% of $10,673 |
| Other | United Of Omaha Life Insurance Company | Lr Webber | 113 | $2,323 14.5% of $15,969 |
| Other | United Of Omaha Life Insurance Company | Leavitt Group Insurance Advisors | 113 | $115 0.7% of $15,969 |
| Other | United Of Omaha Life Insurance Company | Lr Webber | 113 | $1,620 19.0% of $8,510 |
| Other | United Of Omaha Life Insurance Company | Leavitt Group Insurance Advisors | 113 | $63 0.7% of $8,510 |
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.