Employer
St Marys Home Of Erie
1781 West 26th Street, Erie, PA 16508 · EIN 25-1073144 · Jan 1, 2025 to Dec 31, 2025
Plan year 2025
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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 $2,407
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Dental | Highmark Inc. | Loesel-Schaaf Insurance | 120 | $1,580 6.4% of $24,744 |
| Life | Kansas City Life Insurance Co. | Loesel-Schaaf Insurance | 112 | $786 8.0% of $9,823 |
| Life | Kansas City Life Insurance Co. | Loesel-Schaaf Insurance | 112 | $41 0.9% of $4,383 |
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.