Employer
Bloom Engineering Company Inc
5460 Horning Road, Pittsburgh, PA 15236 · EIN 25-0938174 · Nov 1, 2017 to Oct 31, 2018
Plan year 2017
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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 $21,129
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Cigna Health And Life Insurance Company Inc | Enscoe Long Insurance Group LLC | 50 | $17,027 11.5% of $148,454 |
| Medical | Aetna Life Insurance Co. | Enscoe Long Insurance Group LLC | — | $2,336 0.4% of $555,278 |
| Vision | Vision Benefits Of America | Enscoe Long Insurance Group LLC | 45 | $269 7.1% of $3,799 |
| Life | Colonial Life | Enscoe Long Insurance Group LLC | 7 | $541 5.3% of $10,166 |
| Life | Colonial Life | Richard Bryer | 7 | $493 4.8% of $10,166 |
| Life | Colonial Life | Tammy Mogart | 7 | $156 1.5% of $10,166 |
| Life | Colonial Life | Barbara Baxter Dejohn | 7 | $127 1.2% of $10,166 |
| Life | Colonial Life | Huntington Insurance Inc | 7 | $79 0.8% of $10,166 |
| Life | Colonial Life | Timothy Slater | 7 | $54 0.5% of $10,166 |
| Life | Colonial Life | Daniel Slater | 7 | $47 0.5% of $10,166 |
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.