Employer
John V. Schultz Company
7200 Peach Street, Suite 300, Erie, PA 16509 · EIN 25-0900049 · 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 $21,559
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Upmc Health Plan | Lillis Mckibben Bongiovanni & Co (L | 143 | $17,509 2.2% of $796,271 |
| Dental | Metropolitan Life Insurance Company | Lillis Mckibben Bongiovanni & Co (L | 152 | $2,765 6.5% of $42,777 |
| Vision | Vision Benefits Of America | Lillis Mckibben Bongiovanni & Co (L | 94 | $788 7.0% of $11,218 |
| Vision | Vision Benefits Of America | Manufacturer And Business Assoc Ins | 94 | $222 2.0% of $11,218 |
| Life | United Of Omaha Life Insurance Company | Lillis Mckibben Bongiovanni & Co (L | 146 | $275 10.0% of $2,747 |
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.