Employer
David'S Bridal Inc.
630 Allendale Road, Suite 250, King Of Prussia, PA 19406 · EIN 93-2330115 · Jan 1, 2024 to Dec 31, 2024
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 $112,655
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Dental | Cigna Health And Life Insurance Company And Affiliates | Mercer (Us), Inc. | 594 | $34,642 9.9% of $348,929 |
| Vision | Fidelity Security Life Insurance Company | — | 1083 | Comp not disclosed Premium $73,623 |
| Vision | Fidelity Security Life Insurance Company | — | 14 | Comp not disclosed Premium $1,032 |
| Life | Lincoln National Life Insurance Company | Mercer (Us), Inc. | 1115 | $18,785 11.6% of $161,880 |
| Business Travel Accident | National Union Fire Insurance Company Of Pittsburgh, Pa | Mercer (Us), Inc. | 1174 | $1,169 30.0% of $3,895 |
| Other | Lincoln National Life Insurance Company | Mercer (Us), Inc. | 196 | $20,478 11.6% of $176,158 |
| Other | Lincoln National Life Insurance Company | Mercer (Us), Inc. | 1117 | $37,581 11.6% of $323,708 |
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.