Employer
Pinebrook Family Answers
402 North Fulton Street, Allentown, PA 18102 · EIN 23-2112204 · Dec 1, 2022 to Nov 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.
Visible subtotal $16,729
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Dental + Vision | Guardian | Aia American Insurance Admin. | 113 | $16,729 13.6% of $122,642 |
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.