Employer
Council Of Three Rivers American Indian Center
120 Charles Street, Dorseyville, PA 15238 · EIN 23-7176642 · Nov 1, 2024 to Oct 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 $88,944
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Highmark, Inc. | Consortio LLC | 147 | $78,062 4.1% of $1,882,621 |
| Life | Dearborn Life Insurance Company | Susan Mcconnell & Associates Inc | 145 | $1,399 12.2% of $11,489 |
| Other | Colonial Life And Accident Insurance Company | Brett Harsh | 37 | $4,982 9.0% of $55,514 |
| Other | Colonial Life And Accident Insurance Company | Susan Mcconnell & Associates, Inc. | 37 | $3,348 6.0% of $55,514 |
| Other | Colonial Life And Accident Insurance Company | Daniel J. Slater | 37 | $654 1.2% of $55,514 |
| Other | Colonial Life And Accident Insurance Company | Shane Thomas Wiliams | 37 | $40 0.1% of $55,514 |
| Other | Colonial Life And Accident Insurance Company | Maria Inomata | 37 | $257 0.5% of $55,514 |
| Other | Colonial Life And Accident Insurance Company | Timothy J. Slater | 37 | $173 0.3% of $55,514 |
| Other | Colonial Life And Accident Insurance Company | Kati Nairn | 37 | $29 0.1% of $55,514 |
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.