Employer
Supersale Corporation
20111 Route 19 Cranberry Mall, Cranberry Township, PA 16066 · EIN 25-1581896 · Nov 1, 2021 to Oct 31, 2022
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 $27,472
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Upmc Health Options | Henderson Brothers Inc. | 61 | $12,866 2.6% of $501,975 |
| Medical | Upmc Health Options | Henderson Brothers Inc. | 44 | $5,675 2.1% of $268,720 |
| Medical | Upmc Health Options | Henderson Brothers Inc. | — | $181 2.7% of $6,626 |
| Dental + Vision | Ameritas Life Insurance Corporation | Henderson Brothers Inc. | 173 | $2,734 6.8% of $40,500 |
| Life | The Lincoln National Life Insurance Company | Henderson Brothers Inc. | 65 | $1,262 13.7% of $9,239 |
| Life | The Lincoln National Life Insurance Company | Henderson Brothers Inc. | 3 | $1,118 16.7% of $6,679 |
| Other | The Lincoln National Life Insurance Company | Henderson Brothers Inc. | 53 | $1,173 13.9% of $8,468 |
| Other | The Lincoln National Life Insurance Company | Henderson Brothers Inc. | 55 | $2,463 15.7% of $15,645 |
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.