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Employer
294 Alpha Drive, Pittsburgh, PA 15238 · EIN 25-1181611 · Jan 1, 2025 to Dec 31, 2025
Plan year 2025
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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 $59,384
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Highmark Inc | Gordon, David A | 185 | $32,437 2.3% of $1,436,513 |
| Dental | Highmark Inc | Gordon, David A | 193 | $5,548 5.6% of $99,297 |
| Vision | Highmark Inc | Gordon, David A | 192 | $479 3.8% of $12,673 |
| Vision | Highmark Inc | Acrisure Mid-Atlantic Partners Insu | 192 | $13 0.1% of $12,673 |
| Life | United Of Omaha Life Insurance Company | Acrisure, LLC DBA Ashton Benefits | 135 | $762 14.3% of $5,327 |
| Life | United Of Omaha Life Insurance Company | Group Benefits Ltd | 135 | $266 5.0% of $5,327 |
| Life | United Of Omaha Life Insurance Company | Acrisure, LLC DBA Ashton Benefits | 60 | $3,613 17.5% of $20,618 |
| Life | United Of Omaha Life Insurance Company | Group Benefits Ltd | 60 | $1,031 5.0% of $20,618 |
| Accident | United Of Omaha Life Insurance Company | Acrisure, LLC DBA Ashton Benefits | 47 | $891 15.9% of $5,602 |
| Accident | United Of Omaha Life Insurance Company | Group Benefits Ltd | 47 | $280 5.0% of $5,602 |
| Critical Illness | United Of Omaha Life Insurance Company | Acrisure, LLC DBA Ashton Benefits | 21 | $837 16.8% of $4,972 |
| Critical Illness | United Of Omaha Life Insurance Company | Group Benefits Ltd | 21 | $249 5.0% of $4,972 |
| Hospital Indemnity | United Of Omaha Life Insurance Company | Acrisure, LLC DBA Ashton Benefits | 24 | $1,402 15.9% of $8,794 |
| Hospital Indemnity | United Of Omaha Life Insurance Company | Group Benefits Ltd | 24 | $440 5.0% of $8,794 |
| Other | United Of Omaha Life Insurance Company | Acrisure, LLC DBA Ashton Benefits | 31 | $1,639 17.5% of $9,381 |
| Other | United Of Omaha Life Insurance Company | Group Benefits Ltd | 31 | $469 5.0% of $9,381 |
| Other | Highmark Inc | — | 65 | Comp not disclosed Premium $236,077 |
| Other | United Of Omaha Life Insurance Company | Acrisure, LLC DBA Ashton Benefits | 41 | $6,994 17.2% of $40,686 |
| Other | United Of Omaha Life Insurance Company | Group Benefits Ltd | 41 | $2,034 5.0% of $40,686 |
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.