Employer
Board Of Trustees Asbestos Workers Local 42 Welfare Fund
1000 West Valley Road, Southeastern, PA 19399 · EIN 52-6079218 · Jul 1, 2023 to Jun 30, 2024
Plan year 2023
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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.
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Aetna Life Insurance Company | — | 83 | Comp not disclosed Premium $202,750 |
| Life | Hartford Life & Accident | Edward Chicoski | 178 | Comp not disclosed Premium $31,024 |
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 $318,881
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Zenith American Solutions Inc | None | $157,535 | $885.03 |
| Cigna Health & Life Insurance Compa | None | $87,856 | $493.57 |
| Mckeogh Company | None | $27,500 | $154.49 |
| Bacheler & Company, Pc | None | $20,990 | $117.92 |
| Meranze Katz & Gaudioso | None | $20,000 | $112.36 |
| Investment Performance Services | None | $5,000 | $28.09 |