Employer
Jamieson Family Markets
150 Walnut Hill Rd, Uniontown, PA 15401 · EIN 55-0688029 · 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 $63,813
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Highmark Inc. | C B Tracy & Associates DBA Tracyco | 229 | $63,813 3.0% of $2,127,109 |
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.
Visible subtotal $6,606
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| C B Tracy & Associates, Inc. | Contract Administrator | $6,606 | $28.85 |