Employer
S.W. Bajus, Ltd.
595 East Lancaster Avenue, St. Davids, PA 19087 · EIN 23-2133785 · Jan 1, 2023 to Dec 31, 2023
Plan year 2023
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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 $11,882
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Independence Blue Cross | — | 104 | Comp not disclosed Premium $760,157 |
| Dental | Metropolitan Life Insurance Company | Usi Insurance Services (Ri) | 148 | $7,290 10.8% of $67,373 |
| Dental | Metropolitan Life Insurance Company | Emerson Rogres, LLC | 148 | $4,358 6.5% of $67,373 |
| Dental | Metropolitan Life Insurance Company | Usi Insurance Services (Ri) | 148 | $3 0.0% of $67,373 |
| Vision | Vision Benefits Of America | Usi Insurance Services (Ri) | 58 | $231 5.0% of $4,630 |
| Life | Boston Mutual Life Insurance Company | — | 72 | 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.