Employer
Phoenix Laser Solutions LLC
7799 Mchenry Street, Meadville, PA 16335 · EIN 20-0903833 · Jul 1, 2024 to Jun 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 $14,434
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Dental | The Guardian Life Insurance Company Of America | Stalwart Insurance LLC | 115 | $5,496 7.3% of $75,167 |
| Vision | Vision Benefits Of America | Stalwart Group Benefits LLC | 101 | $489 7.0% of $6,949 |
| Vision | Vision Benefits Of America | Manufacturer & Business Assn Ins Ag | 101 | $138 2.0% of $6,949 |
| Stop-loss | Sun Life Assurance Company Of Canada | Sbr Services LLC | 100 | $8,311 4.2% of $199,963 |
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.