Employer
Dta, L.P.
P.O. Box 403, Portersville, PA 16051 · EIN 25-1810237 · Jan 1, 2021 to Dec 31, 2021
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 $30,858
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Upmc Health Options | Davevic Benefit Consultants | 146 | $27,201 3.7% of $739,349 |
| Medical | Upmc Health Options | Davevic Benefit Consultants | 28 | $3,657 3.2% of $115,790 |
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.