Employer
Smith Transport, Inc.
153 Smith Transport Road, Roaring Spring, PA 16673 · EIN 25-1558230 · Oct 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 $4,653
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Dental | Cigna Health And Life Insurance Company | — | 580 | Comp not disclosed Premium $31,440 |
| Vision | Metropolitan Life Insurance Company | — | 802 | Schedule A not provided |
| Life | Hartford Life And Accident | Professional Group Plans Inc | 810 | $4,339 5.0% of $86,777 |
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.