Employer
The Purolite Company
2201 Renaissance Boulevard, King Of Prussia, PA 19406 · EIN 23-2183669 · Jun 1, 2021 to Nov 30, 2021
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 $70,313
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Independence Blue Cross | Johnson, Kendall & Johnson Inc | 125 | $25,822 4.4% of $592,789 |
| Medical | Keystone | Johnson, Kendall & Johnson Inc | 157 | $28,554 4.4% of $654,194 |
| Dental | Sun Life Assurance Company | Johnson, Kendall & Johnson Inc | 147 | $14,781 9.6% of $153,865 |
| Vision | Eyemed Vision Care | Johnson, Kendall & Johnson Inc | 345 | $1,156 10.0% of $11,546 |
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.