Employer
Gtm Restaurant Corp
2173 Embassy Drive, Lancaster, PA 17603 · EIN 23-2108143 · May 1, 2024 to Apr 30, 2025
Plan year 2024
Covered lives: 9
Schedule A
Direct compensation
Coverage contracts on the filing. If the carrier did not provide Schedule A, the row is listed with that note.
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Nfa Health Plus Incorporated Cell | — | 9 | Comp not disclosed Premium $37,614 |
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.