Employer
Board Of Trustees Plasterers Local 31 Insurance Fund
1900 Andrew St, Munhall, PA 15120 · EIN 25-1189104 · Jan 1, 2021 to Apr 1, 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.
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Highmark Blue Cross / Blue Shield | — | — | Comp not disclosed Premium $75,528 |
| Dental | Delta Dental Of Pennsylvania | — | — | Comp not disclosed Premium $2,821 |
| Life | American United Life Insurance Company | — | — | Comp not disclosed Premium $523 |
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 $40,523
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Op&Cmia Combined Funds Of West. Pa | Common Officers | $33,023 | $733.84 |
| Diclaudio & Kramer, LLC | None | $7,500 | $166.67 |