Employer
Shellback Holdings LLC
416 South 4th Street, Coopersburg, PA 18036 · EIN 81-1755265 · Dec 1, 2023 to Nov 30, 2024
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 $52,886
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Unitedhealthcare Insurance Company | Lovitt And Touche, Inc. | 167 | $52,886 4.6% of $1,155,426 |
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.