Employer
Evergreen Homes, Inc.
198 Westgate Drive, Kittanning, PA 16201 · EIN 25-1556760 · Apr 1, 2024 to Mar 31, 2025
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 $50,365
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Upmc Health Options | Ima Financial Group (Pittsburgh, Pa | 135 | $38,775 3.2% of $1,220,908 |
| Dental + Vision | Upmc Health Benefits | Ima Financial Group (Pittsburgh, Pa | 133 | $4,695 9.5% of $49,500 |
| Life | The Lincoln National Life Insurance Company | Babb Inc | 144 | $3,127 14.5% of $21,514 |
| Other | The Lincoln National Life Insurance Company | Babb Inc | 111 | $2,389 8.7% of $27,579 |
| Other | The Lincoln National Life Insurance Company | Dmc Benefits Inc | 111 | $1,379 5.0% of $27,579 |
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.