Employer
United Gilsonite Laboratories
1396 Jefferson Ave, Scranton, PA 18509 · EIN 24-0747530 · 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 $67,773
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Highmark, Inc. | Assured Partners (Central Pa) | 123 | $57,067 3.2% of $1,756,817 |
| Life | United Of Omaha Life Insurance Company | M F Irvine Companies LLC | 142 | $9,291 10.0% of $92,905 |
| Accident, Hospital, Critical Illness | Aflac | Jeffrey F Springer | 9 | $700 6.4% of $10,939 |
| Accident, Hospital, Critical Illness | Aflac | John A Pituch | 9 | $556 5.1% of $10,939 |
| Accident, Hospital, Critical Illness | Aflac | Lenin Rodriguez | 9 | $108 1.0% of $10,939 |
| Accident, Hospital, Critical Illness | Aflac | Andrew T Crawford | 9 | $18 0.2% of $10,939 |
| Accident, Hospital, Critical Illness | Aflac | Tayler Breann Kline | 9 | $15 0.1% of $10,939 |
| Accident, Hospital, Critical Illness | Aflac | Joshua Saunders | 9 | $9 0.1% of $10,939 |
| Accident, Hospital, Critical Illness | Aflac | Vicki S Lynn | 9 | $9 0.1% of $10,939 |
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.