Employer
Guruprasad Srihari
210 W Sixth Street, Erie, PA 16507 · EIN 23-7955305 · Jan 1, 2020 to Dec 31, 2024
Plan year 2020
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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 $6,100
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | East 22 Street Dental Pc Kool Smiles | Unmapped | 8 | $6,100 |
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.