Employer
Master-Lee Energy Services Corp
5631 Route 981, Latrobe, PA 15650 · EIN 25-1539551 · Jul 1, 2024 to Jun 30, 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 $140,798
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Highmark Inc. | Djme Ventures, Inc. | 141 | $90,555 3.4% of $2,655,427 |
| Medical | Highmark Inc. | Acrisure Mid-Atlantic Partners | 141 | $17,502 0.7% of $2,655,427 |
| Medical | Principal Life Insurance Company | Acrisure, LLC DBA Ashton Benefits | 154 | $17,535 24.1% of $72,673 |
| Dental | United Concordia Insurance Company | Acrisure, LLC DBA Ashton Benefits | 152 | $15,206 13.5% of $112,898 |
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.