Employer
Dutchland, Inc.
160 Route 41, Gap, PA 17527 · EIN 23-2328819 · Feb 1, 2023 to Jan 31, 2024
Plan year 2023
Covered lives: 127
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 $2,232
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Dental + Vision | The Guardian Life Insurance Company | — | 123 | Comp not disclosed Premium $97,045 |
| Supplemental | Colonial Life & Accident Insurance Company | Murray Insurance Associates | 11 | $1,376 10.7% of $12,835 |
| Supplemental | Colonial Life & Accident Insurance Company | Benechoice Enrollment Solutions | 11 | $470 3.7% of $12,835 |
| Supplemental | Colonial Life & Accident Insurance Company | James Bartlett LLC | 11 | $164 1.3% of $12,835 |
| Supplemental | Colonial Life & Accident Insurance Company | Petrina Skiles | 11 | $158 1.2% of $12,835 |
| Supplemental | Colonial Life & Accident Insurance Company | Ashly Elcock | 11 | $57 0.4% of $12,835 |
| Supplemental | Colonial Life & Accident Insurance Company | Lance A. Bradley | 11 | $5 0.0% of $12,835 |
| Supplemental | Colonial Life & Accident Insurance Company | Desiree Wendell | 11 | $2 0.0% of $12,835 |
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.