Employer
Excelitas Technologies Corp
1 Fortune Drive, Billerica, MA 01821 · EIN 61-1624649 · 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.
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Kaiser Foundation Health Plan, Inc. | — | 21 | Comp not disclosed Premium $247,138 |
| Vision | Fidelity Security Life Insurance Company | — | 1137 | Comp not disclosed Premium $75,889 |
| Life | Life Insurance Company Of North America | — | 781 | Comp not disclosed Premium $438,949 |
| AD&D | Life Insurance Company Of North America | — | 781 | Comp not disclosed Premium $50,386 |
| Other | Life Insurance Company Of North America | — | 781 | Comp not disclosed Premium $227,673 |
| Other | Life Insurance Company Of North America | — | 781 | Comp not disclosed Premium $208,962 |
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.