Employer
Manufacturer & Business Association
2171 West 38th Street, Erie, PA 16508 · EIN 25-1374544 · Jul 1, 2020 to Jun 30, 2021
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 $54,388
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Dental | United Concordia Insurance Company | Smc Insurance Agency, Inc. | 1931 | $52,812 7.0% of $757,168 |
| Dental | United Concordia Dental Plans Of Pennsylvania, Inc. | Smc Insurance Agency, Inc. | 104 | $1,576 7.1% of $22,295 |
| Vision | Vision Benefits Of America | Smc Insurance Agency | — | Comp not disclosed |
| Vision | HM Life Insurance Company | — | — | Comp not disclosed |
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.