Employer
Roofers Welfare Fund Local #30 Scranton Chapter
6447 Torresdale Avenue, Philadelphia, PA 19135 · EIN 23-6401202 · May 1, 2022 to Apr 30, 2023
Plan year 2022
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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.
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Highmark Blue Shield | — | 35 | Comp not disclosed Premium $88,573 |
| Dental | United Concordia | — | 33 | Comp not disclosed Premium $3,714 |
| Life | The Union Labor Life Insurance Company | — | 37 | Comp not disclosed Premium $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.