Employer
Sumitomo (Shi) Cryogenics Of America, Inc.
1833 Vultee Street, Allentown, PA 18103 · EIN 52-1503386 · Jul 1, 2024 to Jun 30, 2025
Plan year 2024
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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 $134,652
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Capital Advantage Assurance Company | American Insurance Administrators | 525 | $94,448 2.2% of $4,203,731 |
| Dental | Delta Dental Of Pennsylvania | Pentra LLC | 473 | $23,900 9.9% of $241,484 |
| Dental | United Concordia Insurance Company | Pentra, LLC | 68 | $3,040 10.9% of $27,966 |
| Dental | United Concordia Insurance Company | Emerson Rogers LLC | 68 | $48 0.2% of $27,966 |
| Life | Hartford Life And Accident | Pentra, LLC | 216 | $10,745 5.9% of $183,456 |
| Life | Hartford Life And Accident | American Insurance Administrators | 216 | $1,455 0.8% of $183,456 |
| Life | Hartford Life And Accident | Brown & Brown Of Pennsylvania | 216 | $1,016 0.6% of $183,456 |
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.