Employer
Chucks Auto Salvage, Inc.
6867 Boyertown Pike, Douglassville, PA 19518 · EIN 23-2553439 · Jul 1, 2024 to Jun 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 $13,587
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | HM Life Insurance Company | — | 87 | Comp not disclosed Premium $499,185 |
| Dental + Vision | Sun Life Assurance Company Of Canada | Patriot (Power-Kunkle Group, Inc.) | 104 | $8,995 11.3% of $79,647 |
| Dental + Vision | Sun Life Assurance Company Of Canada | James R Nelligan & Associates | 104 | $4,592 5.8% of $79,647 |
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 $42,256
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Patriot (Power-Kunkle Group, Inc.) | Broker | $36,769 | $337.33 |
| The Benecon Group | Broker | $24,886 | $228.31 |
| Highmark Blue Shield (Central) | Admin | $-19,399 | $-177.97 |