Loading employer…
Employer
3000 Montour Church Road, Oakdale, PA 15071 · EIN 83-2733109 · Jul 1, 2024 to Jun 30, 2025
Plan year 2024
View
Schedule A
Coverage contracts on the filing. If the carrier did not provide Schedule A, the row is listed with that note.
Visible subtotal $10,557
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | HM Life Insurance Company | — | 59 | Comp not disclosed Premium $359,435 |
| Dental | United Concordia Insurance Company | Coury Health Services, LLC | 179 | $3,882 10.0% of $38,825 |
| Vision | Vision Benefits Of America | Coury Health Services, LLC | 66 | $300 4.2% of $7,079 |
| Life | United Of Omaha Life Insurance Company | Alera Group Inc DBA Coury Health Sv | 71 | $1,389 15.8% of $8,798 |
| Life | United Of Omaha Life Insurance Company | National Benefit Center | 71 | $255 2.9% of $8,798 |
| Other | United Of Omaha Life Insurance Company | Alera Group Inc DBA Coury Health Sv | 71 | $3,061 20.8% of $14,748 |
| Other | United Of Omaha Life Insurance Company | National Benefit Center | 71 | $424 2.9% of $14,748 |
| Other | United Of Omaha Life Insurance Company | Alera Group Inc DBA Coury Health Sv | 71 | $1,056 15.6% of $6,749 |
| Other | United Of Omaha Life Insurance Company | National Benefit Center | 71 | $190 2.8% of $6,749 |
Schedule C
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 $-2,732
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Coury Health Services, LLC DBA Aler | Broker | $20,640 | $115.31 |
| The Benecon Group | Broker | $17,578 | $98.20 |
| Highmark Blue Shield (Central) | Admin. | $-40,950 | $-228.77 |