Employer
Tri Star Motor Group
930 Route 22 Hwy W, Blairsville, PA 15717 · EIN 25-1818144 · Jun 1, 2022 to Nov 30, 2022
Plan year 2022
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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 $27,805
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Upmc Health Options | Benefits Network Inc. | 149 | $25,739 3.1% of $830,031 |
| Medical | Upmc Health Options | Preferred Benefit Specialists | 149 | $2,066 0.2% of $830,031 |
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.