Employer
Surefire Wireline, LLC
P.O. Box 2116, Weatherford, PA 73096 · EIN 47-2238147 · Jan 1, 2024 to Dec 31, 2024
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 $20,939
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Dental | Metropolitan Life Insurance Company | Coury Health Services, LLC | 252 | $11,945 8.0% of $149,639 |
| Dental | Metropolitan Life Insurance Company | Alera General Agency | 252 | $5,015 3.4% of $149,639 |
| Dental | Metropolitan Life Insurance Company | American Insurance Administrators | 252 | $2,698 1.8% of $149,639 |
| Vision | Reliance Standard Life Insurance Company | Coury Health Services, LLC | 211 | $1,281 8.6% of $14,862 |
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.