Employer
The Shadowfax Corporation
386 Pattison Street, York, PA 17403 · EIN 23-2368549 · Mar 1, 2025 to Jun 30, 2025
Plan year 2025
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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 $5,266
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Vision | Vision Benefits Of America | American Insurance Administrators | 147 | $103 2.0% of $5,154 |
| Life | Reliance Standard Life Insurance Company | American Insurance Administrators | 154 | $4,423 12.5% of $35,330 |
| Life | Reliance Standard Life Insurance Company | American Insurance Administrators | 154 | $740 2.1% of $35,330 |
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.