Employer
Double H Tennessee
50 West Street Road, Warminster, PA 18974 · EIN 80-0241173 · Jan 1, 2023 to Dec 31, 2023
Plan year 2023
View
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 $42,675
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Cigna Health And Life Insurance Company | William A Graham Co | 107 | $36,375 11.5% of $316,230 |
| Dental | Delta Dental Of Pennsylvania | — | 120 | Schedule A not provided |
| Vision | Fidelity Security Life Insurance Company (Eyemed) | — | 125 | Schedule A not provided |
| Life | The Lincoln National Life Insurance Company | — | 119 | Schedule A not provided |
| Life | The Lincoln National Life Insurance Company | — | 59 | Schedule A not provided |
| Life | The Lincoln National Life Insurance Company | — | 37 | Schedule A not provided |
| Other | The Lincoln National Life Insurance Company | — | 119 | Schedule A not provided |
| Other | The Lincoln National Life Insurance Company | — | 119 | Schedule A not provided |
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.