Employer
Haller Enterprises Inc
Po Box 375, Lititz, PA 17543 · EIN 23-2271706 · Jan 1, 2023 to Dec 31, 2023
Plan year 2023
Covered lives: 368
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 $30,008
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Vision | Vision Service Plan | Patriot Growth Insurance Services | 197 | $1,175 4.7% of $25,161 |
| Vision | Vision Service Plan | Usi Insurance Services LLC | 197 | $224 0.9% of $25,161 |
| Life | Metropolitan Life Insurance Company | — | 364 | Schedule A not provided |
| Life | Metropolitan Life Insurance Company | — | 364 | Schedule A not provided |
| Life | Metropolitan Life Insurance Company | — | 364 | Schedule A not provided |
| Life | Metropolitan Life Insurance Company | — | 364 | Schedule A not provided |
| Life | Metropolitan Life Insurance Company | — | 364 | Schedule A not provided |
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.