Employer
Somerset Hospital
225 South Center Avenue, Somerset, PA 15501 · EIN 25-0965570 · Jul 1, 2020 to Dec 31, 2020
Plan year 2020
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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 $10,488
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Life | American United Life Insurance Company | Alliant Insurance Services, Inc. | 614 | $10,488 12.0% of $87,398 |
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.