Employer
C & J Tire Service, Inc.
91 Ben Franklin Highway West, Birdsboro, PA 19508 · EIN 23-2196819 · 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 $30,833
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Aetna Life Insurance Co. | Kistler Tiffany Benefits Co | 206 | $13,830 1.0% of $1,334,131 |
| Medical | Aetna Life Insurance Co. | Steven A Miller | 206 | $6,412 0.5% of $1,334,131 |
| Life | Standard Insurance Company | Steven Miller | 1338 | $7,011 9.8% of $71,400 |
| Life | Standard Insurance Company | Onedigital Premier Svcs, LLC | 1338 | $3,580 5.0% of $71,400 |
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 $52,187
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Steven A Miller | Other | $52,187 | $39.00 |