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Employer
55 Matchette Road, Clinton, PA 15026 · EIN 25-1407345 · Jul 1, 2024 to Jun 30, 2025
Plan year 2024
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Schedule A
Coverage contracts on the filing. If the carrier did not provide Schedule A, the row is listed with that note.
Visible subtotal $17,673
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Highmark, Inc. | — | 160 | Comp not disclosed Premium $1,257,699 |
| Dental | Principal Life Insurance Company | Acrisure, LLC DBA Ashton Benefits | 220 | $8,556 7.1% of $121,237 |
| Dental | Principal Life Insurance Company | Ga Solutions LLC | 220 | $5,285 4.4% of $121,237 |
| Dental | Principal Life Insurance Company | Acrisure, LLC DBA Ashton Benefits | 220 | $2,252 1.9% of $121,237 |
| Vision | Vision Benefits Of America | Acrisure, LLC DBA Ashton Benefits | 120 | $344 4.0% of $8,624 |
| Voluntary Worksite | Colonial Life And Accident Insurance Company | Daniel J Slater | 7 | $73 1.2% of $6,124 |
| Voluntary Worksite | Colonial Life And Accident Insurance Company | Huntington Insurance Inc | 7 | $51 0.8% of $6,124 |
| Voluntary Worksite | Colonial Life And Accident Insurance Company | Timothy J Slater | 7 | $41 0.7% of $6,124 |
| Voluntary Worksite | Colonial Life And Accident Insurance Company | Acrisure, LLC DBA Ashton Benefits | 7 | $18 0.3% of $6,124 |
| Voluntary Worksite | Colonial Life And Accident Insurance Company | William E Good And Other Agents | 7 | $12 0.2% of $6,124 |
| Voluntary Worksite | Colonial Life And Accident Insurance Company | David E Hauck | 7 | $11 0.2% of $6,124 |
| Voluntary Worksite | Colonial Life And Accident Insurance Company | Henderson Brothers Inc. | 7 | $8 0.1% of $6,124 |
| Accident | Unum Life Insurance Company Of America | Acrisure, LLC DBA Ashton Benefits | 6 | $1,022 14.1% of $7,238 |
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.
No Schedule C parties in this year.