Employer
Fayette Ems
102 W. Crawford Avenue, Connellsville, PA 15425 · EIN 25-1762416 · Jan 1, 2025 to Dec 31, 2025
Plan year 2025
View
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 $20,337
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Principal Life Insurance Company | Acrisure, LLC DBA Ashton Benefits | 146 | $14,247 11.7% of $121,256 |
| Medical | Principal Life Insurance Company | Ga Solutions LLC | 146 | $6,093 5.0% of $121,256 |
| Medical | Principal Life Insurance Company | Henderson Brothers Inc. | 146 | $-3 0.0% of $121,256 |
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.