Employer
Proform Powdered Metals Inc
700 Martha Street, Punxsutawney, PA 15767 · EIN 23-2940714 · Oct 1, 2021 to Sep 30, 2022
Plan year 2021
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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 $29,925
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Upmc Health Options | Thompson Flanagan Benefits Group | 147 | $19,985 2.0% of $995,845 |
| Medical | Upmc Health Options | Rwr Group Inc | 147 | $9,940 1.0% of $995,845 |
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.