Employer
Pb Fitness
1221 Wyoming Avenue, Forty Fort, PA 18704 · EIN 90-1013012 · May 1, 2022 to Apr 30, 2023
Plan year 2022
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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 |
|---|---|---|---|---|
| Stop-loss | National Franchise Association Health Plus-Cell | — | 7 | Comp not disclosed Premium $32,453 |
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.