Employer
Gibson-Thomas Engineering Company
1004 Ligonier Street, Latrobe, PA 15650 · EIN 25-1236871 · 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 $87,387
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Cigna Health And Life Insurance Company | First Commonwealth Insurance Agency | 120 | $57,606 16.3% of $353,530 |
| Dental | Guardian | First Commonwealth Insurance Agency | 145 | $21,400 13.8% of $154,888 |
| Dental | Guardian | Professional Group Plans Inc | 145 | $7,744 5.0% of $154,888 |
| Vision | Vision Benefits Of America | First Commonwealth Insurance Agency | 97 | $637 5.0% of $12,743 |
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 $62,416
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Cigna Health And Life Insurance | Claims Procesing | $62,416 | $416.11 |