Employer
L/B Water Service, Inc.
593 South High Street, Selinsgrove, PA 17870 · EIN 75-3036438 · Aug 1, 2024 to Jul 31, 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 $46,141
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Highmark Inc. | — | 670 | Comp not disclosed Premium $5,041,463 |
| Dental + Vision | Sun Life Assurance Company Of Canada | Gunn Mowery, LLC | 258 | $46,141 10.9% of $423,560 |
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.