Employer
Moderne Glass Company
1000 Industrial Blvd, Aliquippa, PA 15001 · EIN 20-0534567 · Jan 1, 2025 to Dec 31, 2025
Plan year 2025
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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 $15,379
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Aetna Life Insurance Co | The Hdh Group, Inc. | 140 | $9,154 0.8% of $1,166,303 |
| Life | United Of Omaha Life Insurance Company | The Hdh Group, Inc. | 175 | $4,419 14.4% of $30,741 |
| Life | United Of Omaha Life Insurance Company | The Hdh Group, Inc. | 175 | $1,806 5.9% of $30,741 |
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.
Visible subtotal $46,661
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| The Hdh Group Inc | Broker | $46,661 | $266.63 |