Employer
Chestnut Ridge Foam, Inc.
443 Warehouse Drive, Latrobe, PA 15650 · EIN 25-1530068 · Jan 1, 2025 to Dec 31, 2025
Plan year 2025
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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 $9,194
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Vision | Highmark Blue Cross Blue Shield | Usi Insurance Services (Ri) | 168 | $571 17.3% of $3,309 |
| Life | Principal Life Insurance Company | Usi Insurance Services (Ri) | 155 | $8,623 10.1% of $85,706 |
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.