Employer
Pride Mobility Products Corp.
401 York Avenue, Duryea, PA 18642 · EIN 23-2443538 · Jan 1, 2024 to Dec 31, 2024
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 $86,034
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Life | Life Insurance Company Of North America | Triben Insurance Solutions | 867 | $37,421 27.2% of $137,817 |
| Accident | Cigna Health And Life Insurance Company | Triben Insurance Solutions | 156 | $7,110 22.7% of $31,349 |
| Critical Illness | Cigna Health And Life Insurance Company | Triben Insurance Solutions | 106 | $6,305 22.7% of $27,753 |
| Accidental Death & Dismemberment | Life Insurance Company Of North America | Triben Insurance Solutions | 867 | $4,843 22.4% of $21,578 |
| Other | Life Insurance Company Of North America | Triben Insurance Solutions | 867 | $30,355 23.9% of $126,946 |
| Employee Assistance Program | Employee Network, Inc. | — | 925 | Comp not disclosed Premium $16,894 |
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.