Employer
Five Star International, LLC
1810 South 19th Street, Harrisburg, PA 17104 · EIN 23-2920501 · Jul 1, 2022 to Dec 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 $10,996
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Life | American Fidelity Assurance Company | — | 91 | Schedule A not provided |
| Life | United Of Omaha Life Insurance Company | American Fidelity General Agcy, Inc | 266 | $8,633 12.0% of $71,900 |
| Life | United Of Omaha Life Insurance Company | Usi Southwest, Inc. Southwest | 266 | $989 1.4% of $71,900 |
| Life | United Of Omaha Life Insurance Company | Usi Southwest, Inc. Southwest | 266 | $551 0.8% of $71,900 |
| Employee Assistance Program | Mazzitti & Sullivan | — | 2918 | Comp not disclosed Premium $2,552 |
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.