Employer
Open Systems Technologies, Inc.
1818 Market Street, Philadelphia, PA 19103 · EIN 04-3389014 · 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.
Visible subtotal $148,941
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Excess Re | Emerson Reid LLC | 91 | $38,175 65.1% of $58,623 |
| Medical | Independence Blue Cross | Flexible Benefit Plans Inc | 247 | $83,497 4.3% of $1,929,830 |
| Dental | United Concordia Insurance Company | Flexible Benefit Plans Inc | 276 | $19,651 14.0% of $140,191 |
| Life | Sun Life Assurance Company Of Canada | Hp Planning LLC | 106 | $7,618 10.9% of $69,939 |
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.