Employer
United Coolair LLC
491 E Princess Street, York, PA 17403 · EIN 23-2536116 · Dec 1, 2021 to Sep 30, 2022
Plan year 2021
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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 $5,001
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Life | United Of Omaha Life Insurance Company | Amwins Administrators Inc | 108 | $812 10.0% of $8,118 |
| Life | United Of Omaha Life Insurance Company | Amwins Administrators Inc | 108 | $244 3.0% of $8,118 |
| Voluntary Short Term Disability | United Of Omaha Life Insurance Company | Amwins Administrators Inc | 54 | $3,028 9.9% of $30,566 |
| Voluntary Short Term Disability | United Of Omaha Life Insurance Company | Amwins Administrators Inc | 54 | $917 3.0% of $30,566 |
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.