Employer
Ice Qube, Inc.
141 Wilson Ave, Greensburg, PA 15601 · EIN 25-1776238 · Oct 1, 2024 to Sep 30, 2025
Plan year 2024
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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 $39,824
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Upmc Health Options | Davevic Benefit Consultants | 88 | $18,030 2.6% of $682,652 |
| Medical | Upmc Health Options | Acrisure Mid-Atlantic Partners | 88 | $3,630 0.5% of $682,652 |
| Dental | Guardian Life Insurance Company | Davevic Benefit Consultants | 102 | $16,501 13.1% of $125,531 |
| Dental | Guardian Life Insurance Company | Acrisure Mid-Atlantic Partners | 102 | $1,305 1.0% of $125,531 |
| Vision | Vision Benefits Of America | Davevic Benefit Consultants | 97 | $358 3.5% of $10,226 |
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.