Employer

Smith Meter Inc.

1602 Wagner Avenue, Erie, PA 16510 · EIN 51-0277210 · 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 $38,157

Coverage	Carrier	Broker	Lives	Direct comp
Medical	Bluecross Blueshield Of Texas	Willis Towers Watson Northeast, Inc	342	$12,975 0.5% of $2,677,379
Dental	Metropolitan Life Insurance Company	Willis Towers Watson Northeast, Inc	368	$48 0.0% of $102,271
Vision	Vision Service Plan	Willis Towers Watson Northeast, Inc	146	$1,807 4.2% of $43,009
Life	Lincoln National Life Insurance Company	Willis Towers Watson	174	$3,186 2.0% of $161,599
Employee Assistance Program	Modern Health Arizona, Pllc	—	441	Comp not disclosed Premium $52,127
Accident	The Lincoln National Life Insurance Company	Willis Towers Watson Northeast, Inc	60	$2,777 20.0% of $13,883
Accident	The Lincoln National Life Insurance Company	Willis Towers Watson	60	$335 2.4% of $13,883
Critical Illness	The Lincoln National Life Insurance Company	Willis Towers Watson Northeast, Inc	43	$7,754 20.0% of $38,769
Critical Illness	The Lincoln National Life Insurance Company	Willis Towers Watson	43	$909 2.3% of $38,769
Hospital Indemnity	The Lincoln National Life Insurance Company	Willis Towers Watson Northeast, Inc	51	$4,179 20.0% of $20,895
Hospital Indemnity	The Lincoln National Life Insurance Company	Willis Towers Watson	51	$495 2.4% of $20,895
Legal	Metlife Legal Plans	Willis Towers Watson Northeast, Inc	30	$1,223 16.3% of $7,508
Business Travel Accident	National Union Fire Ins. Co. Of Pittsburgh, Pa	Willis Towers Watson Northeast, Inc	174	$1,873 25.0% of $7,492
Other	Lincoln National Life Insurance Company	Willis Towers Watson	174	$596 1.9% of $31,021