Employer
Spectra, Inc.
150 Rouse Boulevard, 3rd Floor, Philadelphia, PA 19112 · EIN 98-1421389 · Jan 1, 2021 to Dec 31, 2021
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 $73,949
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Dental | Metropolitan Life Insurance Company | Willis Towers Watson Us LLC | 2098 | $44,397 6.4% of $693,273 |
| Dental | Metropolitan Life Insurance Company | Willis Tower Watson Us LLC | 2098 | $28 0.0% of $693,273 |
| Vision | Combined Insurance Company Of America | Willis Towers Watson Us LLC | 6 | $16 4.7% of $337 |
| Vision | Combined Insurance Company Of America | Willis Towers Watson Us LLC | 102 | $198 4.2% of $4,741 |
| Vision | Combined Insurance Company Of America | — | 8 | Schedule A not provided |
| Vision | HM Life Insurance Company | — | 1315 | Comp not disclosed Premium $86,203 |
| Vision | Combined Insurance Company Of America | Willis Towers Watson Us LLC | 374 | $1,005 4.2% of $24,102 |
| Life | Hartford Life And Accident | Willis Towers Watson Us LLC | 1338 | $28,273 7.2% of $394,674 |
| Employee Assistance Program | Compsych Corporation | — | 1403 | 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.