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Employer
One Four Coins Drive, Canonsburg, PA 15317 · EIN 25-1401429 · Jan 1, 2024 to Dec 31, 2024
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 $105,903
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | United Healthcare Insurance Company | Benefits Network Inc | 400 | $75,324 3.9% of $1,954,958 |
| Vision | Heartland | Benefits Network, Inc | 366 | $714 5.0% of $14,289 |
| Life | United Of Omaha Life Insurance Company | Benefits Network Inc | 234 | $4,244 7.1% of $59,755 |
| Life | United Of Omaha Life Insurance Company | Benefits Network Inc | 234 | $1,664 2.8% of $59,755 |
| Life | United Of Omaha Life Insurance Company | Nfp Insurance Services Inc | 234 | $693 1.2% of $59,755 |
| Life | United Of Omaha Life Insurance Company | Benefits Network Inc | 101 | $6,265 12.6% of $49,609 |
| Life | United Of Omaha Life Insurance Company | Benefits Network Inc | 101 | $1,224 2.5% of $49,609 |
| Life | United Of Omaha Life Insurance Company | Nfp Insurance Services Inc | 101 | $510 1.0% of $49,609 |
| Other | United Of Omaha Life Insurance Company | Benefits Network Inc | 216 | $3,494 11.7% of $29,879 |
| Other | United Of Omaha Life Insurance Company | Benefits Network Inc | 216 | $903 3.0% of $29,879 |
| Other | United Of Omaha Life Insurance Company | Nfp Insurance Services Inc | 216 | $376 1.3% of $29,879 |
| Other | United Of Omaha Life Insurance Company | Benefits Network Inc | 216 | $4,223 7.2% of $58,910 |
| Other | United Of Omaha Life Insurance Company | Benefits Network Inc | 216 | $1,730 2.9% of $58,910 |
| Other | United Of Omaha Life Insurance Company | Nfp Insurance Services Inc | 216 | $721 1.2% of $58,910 |
| Voluntary Benefits | Aflac | Ancillary Benefits Consulting LLC | 21 | $1,362 6.9% of $19,615 |
| Voluntary Benefits | Aflac | Wayne J Uzarski | 21 | $1,303 6.6% of $19,615 |
| Voluntary Benefits | Aflac | Olenka Uzarski | 21 | $714 3.6% of $19,615 |
| Voluntary Benefits | Aflac | Steve J Padgelek | 21 | $135 0.7% of $19,615 |
| Voluntary Benefits | Aflac | Evan Benjamin Gerson | 21 | $73 0.4% of $19,615 |
| Voluntary Benefits | Aflac | Jeffrey Correal | 21 | $72 0.4% of $19,615 |
| Voluntary Benefits | Aflac | Khs Benefits LLC | 21 | $48 0.2% of $19,615 |
| Voluntary Benefits | Aflac | Frederick L Rose | 21 | $28 0.1% of $19,615 |
| Voluntary Benefits | Aflac | Brian W Patten | 21 | $21 0.1% of $19,615 |
| Voluntary Benefits | Aflac | Tye Elliott | 21 | $12 0.1% of $19,615 |
| Voluntary Benefits | Aflac | Andrea Stearns | 21 | $11 0.1% of $19,615 |
| Voluntary Benefits | Aflac | Joy Grube Padgelek | 21 | $9 0.0% of $19,615 |
| Voluntary Benefits | Aflac | James Bradley Seifert | 21 | $9 0.0% of $19,615 |
| Voluntary Benefits | Aflac | Daniel E Torres | 21 | $7 0.0% of $19,615 |
| Voluntary Benefits | Aflac | James G Brandt | 21 | $5 0.0% of $19,615 |
| Voluntary Benefits | Aflac | Barbara Weissman | 21 | $4 0.0% of $19,615 |
| Voluntary Benefits | Aflac | Timothy R Quinlan | 21 | $3 0.0% of $19,615 |
| Voluntary Benefits | Aflac | Heather Bartley | 21 | $2 0.0% of $19,615 |
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.