Employer
Pennsylvania Transformer Technology, LLC
30 Curry Avenue, Canonsburg, PA 15317 · EIN 31-1226999 · May 1, 2024 to Apr 30, 2025
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 $159,234
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Highmark, Inc. | Assuredpartners Of Pennsylvania | 347 | $96,678 2.2% of $4,467,524 |
| Dental | Delta Dental Of Pennsylvania | Assuredpartners Of Pa | 321 | $10,921 7.4% of $147,283 |
| Dental | United Of Omaha Life Insurance Company | Assuredpartners Of Pennsylvania | 452 | $20,134 5.8% of $347,583 |
| Dental | United Of Omaha Life Insurance Company | Professional Group Plans Inc. | 452 | $13,449 3.9% of $347,583 |
| Life | Hartford Life And Accident | Assured Partners | — | $188 0.7% of $26,017 |
| Life | Hartford Life And Accident | Professional Group Plans Inc. | — | $1,301 5.0% of $26,017 |
| Worksite, Accident | Colonial Life & Accident Insurance Company | Multiple Brokers (See Appendix) | 82 | $16,563 18.6% of $89,160 |
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.