Employer
Indochino Apparel Us Inc.
1209 Orange Street, Wilmington, DE 19081 · EIN 33-1225170 · Jan 1, 2023 to Dec 31, 2023
Plan year 2023
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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 $55,085
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Premera Blue Cross | Alliant Insurance Services, Inc. | 103 | $50,190 6.2% of $813,605 |
| Life | The Lincoln National Life Insurance Company | Alliant Insurance Services, Inc. | 129 | $4,895 19.4% of $25,292 |
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.