Employer
Stein Seal Company
Po Box 316, Kulpsville, PA 19443 · EIN 23-1729452 · Aug 1, 2020 to Jul 31, 2021
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 $30,973
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Westport Insurance Corp | — | 194 | Comp not disclosed Premium $367,201 |
| Dental | The Guardian Life Insurance Company Of America | Acrisure, LLC DBA Ashton Benefits | 232 | $22,385 7.4% of $300,674 |
| Dental | The Guardian Life Insurance Company Of America | Acrisure, LLC DBA Ashton Benefits | 232 | $8,588 2.9% of $300,674 |
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 $216,768
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Continental Benefits | None | $57,957 | $248.74 |
| Gy6 | None | $53,555 | $229.85 |
| Aetna Life Insurance | None | $44,866 | $192.56 |
| Acrisure LLC North American Insuran | None | $35,473 | $152.24 |
| American Health Holdings | None | $14,419 | $61.88 |
| Leaders Enterprise | None | $10,498 | $45.06 |