Employer
United Gilsonite Laboratories, Inc.
1396 Jefferson Ave, Scranton, PA 18509 · EIN 30-1163305 · Jan 1, 2024 to Dec 31, 2024
Plan year 2024
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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 $55,651
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Highmark, Inc. | Assured Partners (Central Pa) | 83 | $44,205 3.9% of $1,139,518 |
| Life | United Of Omaha Life Insurance Company | Assured Partners (Central Pa) | 99 | $11,446 14.6% of $78,215 |
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.