Employer
Rev Lng LLC
1004 Empson Road, Ulysses, PA 16948 · EIN 46-3160755 · Jul 1, 2024 to Jun 30, 2025
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 $23,149
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Dental + Vision | Sun Life Assurance Company Of Canada | First National Insurance Agency | 96 | $16,477 9.7% of $170,007 |
| Dental + Vision | Sun Life Assurance Company Of Canada | Dmc Benefits Inc | 96 | $6,672 3.9% of $170,007 |
| Telemedicine | First Stop Health | — | — | Schedule A not provided |
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.