Employer
Fabric Development, Inc.
1217 Mill Street, Quakertown, PA 18951 · EIN 23-1877836 · Nov 1, 2020 to Jan 31, 2021
Plan year 2020
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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 $36,877
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Independence Blue Cross | Corporate Synergies Group, LLC | 160 | $30,053 6.1% of $495,607 |
| Dental | United Concordia Insurance Company | — | 144 | Schedule A not provided |
| Life | Hartford Life And Accident | Donald C. Savoy Inc. | 201 | $2,757 20.0% of $13,788 |
| Life | American Heritage Life Insurance Company | Gettysburg Benefits Admin. Inc. | 13 | $265 5.9% of $4,475 |
| Life | American Heritage Life Insurance Company | First Niagara Risk Management Inc. | 13 | $139 3.1% of $4,475 |
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.