Employer
Harristown Enterprises, Inc.
320 Market St Ste 273e, Harrisburg, PA 17101 · EIN 25-1581214 · Jan 1, 2020 to Dec 31, 2020
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 $38,278
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Capital Advantage Assurance Company | American Insurance Administrators | 75 | $32,000 7.0% of $454,353 |
| Dental | Delta Dental Of Pennsylvania | — | 78 | Comp not disclosed Premium $17,142 |
| Vision | Heartland | American Insurance Administrators | 73 | $155 5.0% of $3,096 |
| Life | Life Insurance Company Of North America | American Insurance Administrators | 94 | $6,123 15.0% of $40,817 |
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.