Employer
Upl Na Inc.
630 Freedom Business Center, King Of Prussia, PA 19406 · EIN 51-0377088 · Jan 1, 2023 to Dec 31, 2023
Plan year 2023
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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 $143,691
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Blue Cross And Blue Shield Of North Carolina | Eduardo Vargas | 993 | $95,342 1.4% of $6,706,712 |
| Dental + Vision | The Guardian Life Insurance Company Of America | Aon Risk Insurance Services Of Flor | 477 | $48,349 4.5% of $1,083,669 |
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.