Employer
Thomas Automotive Family LLC
127 S Julianna Street, Bedford, PA 15522 · EIN 83-1434331 · Aug 1, 2024 to Jul 31, 2025
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 $15,319
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Life | American United Life Insurance Company | — | 174 | Schedule A not provided |
| Vision | Vision Benefits Of America | Usi Insurance Services (Ri) | 97 | $787 5.0% of $15,745 |
| Dental | The Guardian Life Insurance Company Of America | Usi Insurance Services (Ri) | 88 | $3,998 7.8% of $50,984 |
| Dental | The Guardian Life Insurance Company Of America | Emerson Rogers LLC | 88 | $1,555 3.0% of $50,984 |
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.