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Broker book

Ufcw Local 23&Employers Health Fund

345 Southpointe Blvd., Canonsburg, PA 15317 · EIN 23-7083247

Employers

Plan year

Groups named on this party’s Form 5500 rows for the selected plan year.

EmployerCoverageCarrierEnrolledDirect (A)Additional (C)
No employers in this year.

About these columns

Direct (A) — Carrier-contract commissions from Schedule A. Not averaged with Schedule C.

Additional (C) — Plan-paid amounts from Schedule C. Shown as total and $ / enrolled / year.