Employer
Pennsylvania Spca
350 E. Erie Ave., Philadelphia, PA 19134 · EIN 23-1352269 · Jan 1, 2020 to Dec 31, 2020
Plan year 2020
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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 $12,019
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Independence Blue Cross | — | 105 | Comp not disclosed Premium $596,690 |
| Dental | United Concordia Insurance Company | Emerson Reid DBA Tra Benefit | 108 | $5,444 14.9% of $36,483 |
| Vision | Ngl | Alliant Insurance Services, Inc. | 89 | $356 9.0% of $3,956 |
| Life | Metropolitan Life Insurance Company | Alliant Insurance Services, Inc. | 87 | $5,533 12.0% of $46,292 |
| Life | Metropolitan Life Insurance Company | Alliant Insurance Services, Inc. | 87 | $686 1.5% of $46,292 |
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.