Employer
Wilson Excavating & Grading, Inc.
407 E. Neshannock Avenue, New Wilmington, PA 16142 · EIN 25-1507427 · Dec 1, 2020 to Feb 28, 2021
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 $6,079
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Upmc Health Options | Seubert & Associates, Inc. | — | $-60 -3.0% of $2,000 |
| Medical | Upmc Health Options | Seubert & Associates, Inc. | 29 | $878 3.0% of $28,895 |
| Medical | Upmc Health Options | Seubert & Associates, Inc. | 40 | $1,397 2.8% of $49,179 |
| Medical | Upmc Health Options | Seubert & Associates, Inc. | 1 | Comp not disclosed |
| Medical | Upmc Health Options | Seubert & Associates, Inc. | 118 | $3,602 3.1% of $117,905 |
| Medical | Upmc Health Options | Seubert & Associates, Inc. | 2 | $58 3.0% of $1,919 |
| Other | The Lincoln National Life Insurance Company | — | 101 | 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.
No Schedule C parties in this year.