Employer
Ibis Tek, Inc.
220 South Noah Drive, Saxonburg, PA 16056 · EIN 81-4850641 · Jan 1, 2022 to Apr 30, 2022
Plan year 2022
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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 $30,459
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Upmc Health Options | — | 82 | Schedule A not provided |
| Dental | The Guardian Life Insurance Company Of America | James B. Oswald Company | 10 | $11,811 44.4% of $26,597 |
| Dental | The Guardian Life Insurance Company Of America | Centro Benefits Research, LLC | 10 | $1,330 5.0% of $26,597 |
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.