Employer
Elemica, Inc.
1111 Old Eagle School Rd. Suite 100, Wayne, PA 19087 · EIN 04-3715361 · Jan 1, 2025 to Dec 31, 2025
Plan year 2025
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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 $106,081
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Unitedhealthcare Insurance Company | Lockton Companies, LLC | 546 | $88,094 4.3% of $2,049,337 |
| Medical | Unitedhealthcare Insurance Company | Alliant Insurance Services, Inc. | 546 | $-41 0.0% of $2,049,337 |
| Life | Symetra Life Insurance Company | — | 232 | Schedule A not provided |
| Life | Symetra Life Insurance Company | — | 232 | Schedule A not provided |
| Accident, Critical Illness, Hospital | Symetra Life Insurance Company | Lockton Companies, LLC | 143 | $4,116 15.8% of $26,013 |
| Accident, Critical Illness, Hospital | Symetra Life Insurance Company | Alliant Insurance Services, Inc. | 143 | $539 2.1% of $26,013 |
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.