Employer
Solar Innovations Inc.
31 Roberts Road, Pine Grove, PA 17963 · EIN 47-0893501 · Jul 1, 2021 to Jun 30, 2022
Plan year 2021
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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 $18,955
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Dental | United Concordia Insurance Company | — | 195 | Schedule A not provided |
| Vision | Capital Advantage Assurance Company | American Insurance Administrators | 205 | $454 4.0% of $11,357 |
| Life | The Guardian Life Insurance Company Of America | — | 92 | Schedule A not provided |
| Life | The Guardian Life Insurance Company Of America | — | 92 | Schedule A not provided |
| Life | The Guardian Life Insurance Company Of America | — | 92 | Schedule A not provided |
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.