Employer
Weleski Transfer, Inc.
140 West Fourth Avenue, Tarentum, PA 15084 · EIN 25-1215764 · Mar 1, 2022 to Feb 28, 2023
Plan year 2022
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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 $21,894
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Life | Wilcac Life Insurance | — | 1 | Comp not disclosed Premium $1,460 |
| Other | Lincoln National Life Insurance Company | — | 20 | Comp not disclosed |
| Medical | Upmc Health Options | Assuredpartners | 89 | $10,303 1.9% of $548,185 |
| Dental + Vision | The Guardian Life Insurance Company Of America | — | 86 | Schedule A not provided |
| Dental + Vision | The Guardian Life Insurance Company Of America | — | 86 | Schedule A not provided |
| Dental + Vision | The Guardian Life Insurance Company Of America | — | 86 | Schedule A not provided |
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.
Visible subtotal $28,407
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Fidelity Investments Institutional | Recordkeeper | $16,176 | $138.26 |
| Private Advisor Group LLC | Advisor | $12,231 | $104.54 |