Employer
Carlisle Carrier Corporation
Po Box 1549, Mechanicsburg, PA 17055 · EIN 25-1611449 · Oct 1, 2020 to Dec 31, 2020
Plan year 2020
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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 $9,740
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Dental + Vision | The Guardian Life Insurance Company | Alpha Benefits Group, Inc | 268 | $2,350 9.3% of $25,271 |
| Vision | National Vision Administrators, LLC | Brown & Brown Of Pennsylvania | 331 | $97 2.5% of $3,893 |
| Vision | National Vision Administrators, LLC | Kelly & Associates Insurance Group | 331 | $97 2.5% of $3,893 |
| Other | The Guardian Life Insurance Company | Pci Insurance Agency | 214 | $7,196 16.4% of $43,802 |
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 $41,292
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Brown & Brown Of Pennsylvania | Broker | $6,650 | $20.09 |
| Capital Advantage Assurance Company | Admin | $34,642 | $104.66 |