Employer
Keystone Landfill, Inc.
249 Dunham Dr, Dunmore, PA 18512 · EIN 23-1949696 · Jan 1, 2022 to Dec 31, 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 $18,869
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | American Fidelity Assurance Company | American Fidelity Assurance Company | 129 | $14,355 13.6% of $105,186 |
| Medical | American Fidelity Assurance Company | Pennsylvania Auto Assoc Ins Agy Inc | 129 | $923 0.9% of $105,186 |
| Dental + Vision | The Guardian Life Insurance Company Of America | Universal Employee Benefits So | 94 | $3,591 5.9% of $61,341 |
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.