Employer
Rgh Automotive LLC
508 West Main Street, New Holland, PA 17557 · EIN 47-4963155 · Jul 1, 2023 to Jun 30, 2024
Plan year 2023
Covered lives: 233
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 $20,923
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | American Fidelity Assurance Company | — | 92 | Schedule A not provided |
| Medical | American Fidelity Assurance Company | — | 92 | Schedule A not provided |
| Medical | American Fidelity Assurance Company | — | 92 | Schedule A not provided |
| Medical | American Fidelity Assurance Company | — | 92 | Schedule A not provided |
| Medical | American Fidelity Assurance Company | — | 92 | Schedule A not provided |
| Vision | Capital Advantage Assurance Company | Gallagher Benefit Services, Inc. | 233 | $590 5.2% of $11,384 |
| Life | Dearborn Life Insurance Company | Gallagher Benefit Services, Inc. | 161 | $3,280 9.8% of $33,639 |
| Life | Dearborn Life Insurance Company | Consolidated Benefits, Inc | 161 | $1,640 4.9% of $33,639 |
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.