Employer
Pine Instrument Company
101 Industrial Dr, Grove City, PA 16127 · EIN 25-1104392 · Jan 1, 2023 to Dec 31, 2023
Plan year 2023
View
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 $31,381
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Highmark, Inc. | Davevic Benefit Consultants | 89 | $23,034 1.7% of $1,329,906 |
| Dental | United Concordia Insurance Company | Davevic Benefit Consultants | 190 | $2,077 4.0% of $51,965 |
| Vision | Vision Benefits Of America | Davevic Benefit Consultants | 92 | $449 3.2% of $14,136 |
| Life | Sun Life Assurance Company Of Canada | Davevic Benefit Consultants | 98 | $830 6.1% of $13,606 |
| AD&D | Sun Life Assurance Company Of Canada | Davevic Benefit Consultants | 94 | $4,991 13.9% of $36,000 |
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.