Employer
Trigon Holding, Inc.
124 Hidden Valley Road, Mcmurray, PA 15317 · EIN 20-3780658 · Jan 1, 2020 to Dec 31, 2020
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 $8,740
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Dental | The Guardian Life Insurance Company Of America | Usi Insurance Services (Ri) | 44 | $2,347 7.0% of $33,530 |
| Life | Hartford Life And Accident | Usi Insurance Services (Ri) | 86 | $4,148 8.0% of $51,552 |
| Life | Hartford Life And Accident | Usi Insurance Services (Ri) | 86 | $1,706 3.3% of $51,552 |
| Life | Hartford Life And Accident | Usi Insurance Services (Ri) | 86 | $539 1.0% of $51,552 |
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.