Employer
Salem Tube, Inc.
951 Nickel Street, Greenville, PA 16125 · EIN 25-1651664 · Jan 1, 2025 to Dec 31, 2025
Plan year 2025
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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 $107,612
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Highmark Inc. | Acrisure Mid-Atlantic Partners | 120 | $41,758 2.0% of $2,107,081 |
| Medical | Highmark Inc. | Djme Ventures, Inc. | 120 | $21,436 1.0% of $2,107,081 |
| Dental + Vision | The Guardian Life Insurance Company Of America | Davevic Benefit Consultants | 181 | $36,127 14.1% of $255,552 |
| Dental + Vision | The Guardian Life Insurance Company Of America | Acrisure Mid-Atlantic Partners | 181 | $4,761 1.9% of $255,552 |
| Group Long Term Care | Unum Life Insurance Company Of America | Davevic Benefit Consultants | 50 | $3,530 15.0% of $23,535 |
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.