Employer
Fairfield Auto Group, Inc.
Po Box 308, Montoursville, PA 17754 · EIN 23-1662860 · Oct 1, 2023 to Sep 30, 2024
Plan year 2023
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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 $33,748
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Highmark Inc. | Roche Financial Inc | 61 | $33,748 4.7% of $720,857 |
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.