Employer
Northwest Bank
P.O. Box 128, Warren, PA 16365 · EIN 23-2790930 · 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.
Visible subtotal $318,630
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Dental | United Concordia Insurance Company | — | 87 | Comp not disclosed Premium $29,937 |
| Vision | Vision Service Plan | Usi Insurance Services (Ri) | 1446 | $31,026 10.7% of $289,320 |
| Life | The Lincoln National Life Insurance Company | Usi Insurance Services (Ri) | 1985 | $233,897 11.4% of $2,050,261 |
| Life | The Lincoln National Life Insurance Company | Usi Insurance Services (Ri) | 1985 | $32,196 1.6% of $2,050,261 |
| Life | The Lincoln National Life Insurance Company | Usi Insurance Services (Ri) | 1985 | $18,643 0.9% of $2,050,261 |
| Life | The Lincoln National Life Insurance Company | Usi Insurance Services (Ri) | 1985 | $2,443 0.1% of $2,050,261 |
| Business Travel Accident | Zurich American Insurance Company | — | — | Schedule A not provided |
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.