Employer
Lavazza North America
1301 Wilson Drive, West Chester, PA 19380 · EIN 38-4099125 · Jan 1, 2024 to Dec 31, 2024
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.
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Aetna Life Insurance Co. | — | 683 | Comp not disclosed Premium $4,991,213 |
| Dental | Aetna Life Insurance Co. | — | 695 | Comp not disclosed Premium $255,558 |
| Employee Assistance Program | Health And Human Resource Center | — | 16 | Comp not disclosed Premium $265 |
| Vision | Aetna Life Insurance Co. | — | 600 | Comp not disclosed Premium $35,168 |
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.