Employer
Ntp Marble Inc. DBA Colonial Marble
475 S Henderson Road, King Of Prussia, PA 19406 · EIN 01-0851844 · Jan 1, 2021 to Dec 31, 2021
Plan year 2021
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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 | Independence Blue Cross | — | 36 | Comp not disclosed Premium $166,473 |
| Medical | Keystone | — | 40 | Comp not disclosed Premium $208,879 |
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.