Employer
Forta LLC
100 Forta Drive, Grove City, PA 16127 · EIN 25-1347846 · Aug 1, 2024 to Jul 31, 2025
Plan year 2024
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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 $67,355
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Highmark Inc. | Davevic Benefit Consultants | 102 | $40,522 4.0% of $1,016,062 |
| Dental + Vision | Guardian | Davevic Benefit Consultants | 133 | $26,833 18.5% of $145,285 |
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.