Employer
First National Bank Of Pa
One Fnb Blvd, Hermitage, PA 16148 · EIN 25-1255405 · Jan 1, 2022 to Aug 31, 2022
Plan year 2022
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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 $9,257
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Life | United Of Omaha Life Insurance Company | United Of Omaha Life Insurance Comp | — | $9,257 91.7% of $10,090 |
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.
Visible subtotal $27,040
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Trustmark Health Benefits, Inc. | None | $15,836 | $79.58 |
| Employee One Benefit Solutions | None | $5,358 | $26.92 |
| Cigna Ppo | None | $3,762 | $18.90 |
| Eyemed Vision Care | None | $2,084 | $10.47 |