Employer
Centimark Corporation
12 Grandview Circle, Canonsburg, PA 15317 · EIN 25-1194990 · May 1, 2024 to Apr 30, 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 $37,540
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Hawaii Medical Assurance Association | Dennis Wong | 9 | $1,442 3.0% of $48,607 |
| Vision | Metropolitan Life Insurance Company | — | 3796 | Schedule A not provided |
| Life | Metropolitan Life Insurance Company | Usi Insurance Services (Ri) | 2988 | $13,806 2.5% of $543,123 |
| Life | Metropolitan Life Insurance Company | Usi Insurance Services (Ri) | 2988 | $3 0.0% of $543,123 |
| Business Travel Accident | Hartford Fire Insurance Company | — | 2988 | Schedule A not provided |
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.