Employer
Bracey'S Supermarket, Inc.
921 Drinker Tpke, Covington Township, PA 18444 · EIN 23-1951493 · Jun 1, 2024 to May 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 $39,042
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Highmark | David Patchcoski | 246 | $38,323 2.4% of $1,607,937 |
| Life | United Of Omaha Life Insurance Company | Universal Employee Benefits | 251 | $719 11.5% of $6,276 |
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.