Employer
Cumberland Truck Equipment Co.
25 Roadway Drive, Carlisle, PA 17015 · EIN 23-2408429 · May 1, 2021 to Apr 30, 2022
Plan year 2021
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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 $10,551
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Dental | Delta Dental Of Pennsylvania | Alpha Benefits Group, Inc | — | $1,683 3.9% of $42,844 |
| Dental | Delta Dental Of Pennsylvania | Brown & Brown Of Pennsylvania | — | $461 1.1% of $42,844 |
| Vision | Vision Service Plan | Brown & Brown Of Pennsylvania | — | $694 6.6% of $10,517 |
| Life | The Lincoln National Life Insurance Company | Brown & Brown Of Pennsylvania | 255 | $1,556 12.1% of $12,819 |
| AD&D | The Lincoln National Life Insurance Company | — | — | Comp not disclosed |
| Other | The Lincoln National Life Insurance Company | Brown & Brown Of Pennsylvania | 224 | $2,511 7.3% of $34,414 |
| Other | The Lincoln National Life Insurance Company | Brown & Brown Of Pennsylvania | 252 | $3,646 9.4% of $38,787 |
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 $7,410
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Capital Advantage Assurance Company | Admin | $7,410 | $28.28 |