Employer
Prism Spectrum Holdings LLC
102 Technology Lane, Export, PA 15632 · EIN 82-4146408 · 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 $144,109
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Aetna Life Insurance Company | Usi Insurance Services (Ri) | 291 | $92,022 3.6% of $2,546,680 |
| Dental | The Guardian Life Insurance Company Of America | — | 150 | Schedule A not provided |
| Life | Hartford Life And Accident | Usi Insurance Services (Ri) | 250 | $43,852 21.9% of $200,693 |
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.