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Employer
6 Penn Center West, Pittsburgh, PA 15276 · EIN 25-1394804 · Mar 1, 2022 to Feb 28, 2023
Plan year 2022
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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 $61,935
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Aetna Life Insurance Company | — | 509 | Comp not disclosed Premium $926,635 |
| Dental | Metropolitan Life Insurance Company | Henderson Brothers Inc. | 1246 | $10,721 3.5% of $307,604 |
| Vision | Vision Benefits Of America | Henderson Brothers Inc. | 487 | $2,780 5.0% of $55,604 |
| Life | Life Insurance Company Of North America (Cigna) | Henderson Brothers Inc. | — | $4,029 3.8% of $105,794 |
| Life | Lincoln National Life Insurance Company | Henderson Brothers Inc. | 634 | $3,756 5.0% of $75,123 |
| AD&D | Life Insurance Company Of North America (Cigna) | Henderson Brothers Inc. | — | $1,933 13.5% of $14,327 |
| AD&D | Reliastar Life Insurance Company | Henderson Brothers Inc. | 216 | $31,825 66.3% of $47,996 |
| Other | Life Insurance Company Of North America (Cigna) | Henderson Brothers Inc. | — | $4,678 6.9% of $67,834 |
| Statutory Disability | Life Insurance Company Of North America (Cigna) | — | — | Comp not disclosed Premium $4,208 |
| Other | Lincoln National Life Insurance Company | Henderson Brothers Inc. | 634 | $2,213 5.5% of $40,233 |
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.