Employer
The Pep Boys-Manny, Moe & Jack LLC
One Presidential Boulevard, Bala Cynwyd, PA 19004 · EIN 85-4254017 · 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 $61,384
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Mcs Life Insurance Company | Fulcro Insurance, Inc. | 213 | $49,107 4.0% of $1,240,075 |
| Medical | Mcs Life Insurance Company | Cgf Insurance, LLC | 213 | $12,277 1.0% of $1,240,075 |
| Dental | Delta Dental Of Pennsylvania | — | 5449 | Comp not disclosed Premium $1,447,800 |
| Vision | Vision Service Plan | — | 3172 | Comp not disclosed Premium $421,159 |
| Life | Reliance Standard Life Insurance Company | — | 8138 | Comp not disclosed Premium $3,899,127 |
| Employee Assistance Program | Curalinc, LLC, DBA Curalinc Healthcare | — | 7439 | Comp not disclosed Premium $84,408 |
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.