Employer
Thomas Chevrolet, Inc. & Affiliates
Route 220, Po Box 165, Bedford, PA 15522 · EIN 25-1182097 · Aug 1, 2021 to Jul 31, 2022
Plan year 2021
View
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 $9,983
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Life | American United Life Insurance Company | Henderson Brothers Inc. | 199 | $9,112 10.0% of $91,115 |
| Vision | Vision Benefits Of America | Henderson Brothers Inc. | 111 | $871 5.0% of $17,427 |
| Medical | Highmark | — | 161 | Comp not disclosed Premium $859,065 |
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.