Employer
Tjm Trevose, LLC
2400 Old Lincoln Highway, Trevose, PA 19053 · EIN 47-5068057 · Mar 1, 2020 to Feb 28, 2021
Plan year 2020
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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 $50,094
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Cigna Health And Life Insurance Company | Acrisure, LLC DBA Ashton Benefits | 47 | $22,000 12.4% of $177,832 |
| Medical | Cigna Health And Life Insurance Company | Acrisure LLC DBA Alltrust Insurance | 47 | $18,840 10.6% of $177,832 |
| Medical | Cigna Health And Life Insurance Company | Centerstone Ins(Nj) | 47 | $7,821 4.4% of $177,832 |
| Medical | Cigna Health And Life Insurance Company | Ramsey Khattab | 47 | $-500 -0.3% of $177,832 |
| Medical | Cigna Health And Life Insurance Company | Next Level Planning, LLC | 47 | $-1,000 -0.6% of $177,832 |
| Medical | Cigna Health And Life Insurance Company | Acrisure, LLC DBA Ashton Benefits | 47 | $-2,040 -1.1% of $177,832 |
| Dental | The Guardian Life Insurance Company Of America | Acrisure, LLC DBA Ashton Benefits | 51 | $4,552 9.3% of $49,101 |
| Dental | The Guardian Life Insurance Company Of America | Centerstone Ins And Financial | 51 | $421 0.9% of $49,101 |
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.
Visible subtotal $4,722
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Cigna Health And Life Insurance Co | Claims Processor | $4,722 | $36.89 |