Employer
Smooth-On, Inc.
5600 Lower Macungie Road, Macungie, PA 18062 · EIN 22-1290880 · Jan 1, 2024 to Dec 31, 2024
Plan year 2024
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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 $81,022
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Highmark, Inc. | Joseph Lennert | 306 | $47,340 1.7% of $2,705,440 |
| Medical | Highmark, Inc. | Mcgriff Insurance Services Inc. | 306 | $15,780 0.6% of $2,705,440 |
| Vision | Vision Service Plan | Mcgriff Insurance Services Inc. | 166 | $1,066 4.7% of $22,553 |
| Life | Sun Life Assurance Company Of Canada | Mcgriff Insurance Services Inc. | 168 | $16,836 18.7% of $89,952 |
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.
Visible subtotal $42,753
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Mcgriff Insurance Services | Broker | $12,190 | $39.84 |
| Delta Dental Of Pennsylvania | Admin | $30,563 | $99.88 |