Employer
Brevillier Village Foundation
5416 E Lake Rd, Erie, PA 16511 · EIN 25-1548657 · Feb 1, 2021 to Jan 31, 2022
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.
Visible subtotal $1,184
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Life | Equitable Financial Life Insurance Company Of America | The Bert Company DBA Northwest Ins | 94 | $233 3.7% of $6,353 |
| Life | Equitable Financial Life Insurance Company Of America | Centerstone Insurance Benefit Mall | 94 | $318 5.0% of $6,353 |
| Life | Equitable Financial Life Insurance Company Of America | Usi Insurance Services (Ri) | 94 | $633 10.0% of $6,353 |
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.