Employer
Superior Composites Co., LLC
209 4th Avenue, Pittsburgh, PA 15272 · EIN 47-3027276 · Jul 1, 2020 to Jun 30, 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 $4,558
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Life | Standard Insurance Company | Providence Health Benefits Inc | 92 | $3,231 13.4% of $24,163 |
| Other | Standard Insurance Company | Providence Health Benefits Inc | 14 | $652 13.0% of $4,997 |
| Other | Standard Insurance Company | Miller-Lewis Ins Agcy Inc | 18 | $359 8.4% of $4,270 |
| Other | Standard Insurance Company | Providence Health Benefits Inc | 18 | $316 7.4% of $4,270 |
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.