Employer
Tri-County Industries, Inc.
159 Tci Park Drive, Grove City, PA 16127 · EIN 25-1287781 · Feb 1, 2023 to Jan 31, 2024
Plan year 2023
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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 $109,755
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Upmc Health Options | Davevic Benefit Consultants | 368 | $92,956 4.0% of $2,325,156 |
| Dental | Guardian Life Insurance Company | Davevic Benefit Consultants | 184 | $15,262 10.5% of $145,241 |
| Vision | Heartland | Davevic Benefit Consultants | 125 | $1,537 10.0% of $15,369 |
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.