Employer
Giorgio Foods, Inc.
Po Box 96, Temple, PA 19560 · EIN 23-1661073 · Jan 1, 2024 to Dec 31, 2024
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 $289,458
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | HM Life Insurance Company | Tompkins Insurance | 1947 | $185,264 10.6% of $1,748,149 |
| Vision | Vision Benefits Of America | Tompkins Insurance | 1701 | $2,157 1.5% of $145,911 |
| Life | Hartford Life And Accident | Tompkins Insurance | 2603 | $69,048 11.5% of $601,871 |
| Life | Hartford Life And Accident | James R Nelligan & Associates | 2603 | $32,989 5.5% of $601,871 |
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 $27,102
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Highmark Inc. | None | $27,102 | $10.41 |