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Employer
501 West 7th Avenue, West Homestead, PA 15120 · EIN 25-0320720 · Jan 1, 2020 to Dec 31, 2020
Plan year 2020
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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 $9,703
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | United Healthcare Insurance Company | — | 123 | Comp not disclosed Premium $1,034,532 |
| Dental | Metropolitan Life Insurance Company | Coury Health Services, LLC | 211 | $6,996 8.4% of $83,720 |
| Vision | Eyemed | Coury Health Services, LLC | 94 | $441 8.1% of $5,463 |
| Life | Colonial Life & Accident Insurance Company | Coury Health Services, LLC | 23 | $567 2.7% of $21,248 |
| Life | Colonial Life & Accident Insurance Company | Jrg Advisors LLC | 23 | $311 1.5% of $21,248 |
| Life | Colonial Life & Accident Insurance Company | Peterson Financial Inc | 23 | $280 1.3% of $21,248 |
| Life | Colonial Life & Accident Insurance Company | Jason Paul Campbell | 23 | $278 1.3% of $21,248 |
| Life | Colonial Life & Accident Insurance Company | Cbf Benefits Inc | 23 | $175 0.8% of $21,248 |
| Life | Colonial Life & Accident Insurance Company | Northwest Worksite Marketing Corp | 23 | $159 0.7% of $21,248 |
| Life | Colonial Life & Accident Insurance Company | Tammy A Morgart | 23 | $96 0.5% of $21,248 |
| Life | Colonial Life & Accident Insurance Company | Brian Patten | 23 | $78 0.4% of $21,248 |
| Life | Colonial Life & Accident Insurance Company | James Daniel Martinette | 23 | $66 0.3% of $21,248 |
| Life | Colonial Life & Accident Insurance Company | Northwest Enrollx LLC | 23 | $53 0.2% of $21,248 |
| Life | Colonial Life & Accident Insurance Company | Leah Erika Mellay | 23 | $52 0.2% of $21,248 |
| Life | Colonial Life & Accident Insurance Company | Bryer Insurance Service Inc | 23 | $37 0.2% of $21,248 |
| Life | Colonial Life & Accident Insurance Company | Timothy Birdsong | 23 | $28 0.1% of $21,248 |
| Life | Colonial Life & Accident Insurance Company | Donna Troxell | 23 | $23 0.1% of $21,248 |
| Life | Colonial Life & Accident Insurance Company | Sara Marie Bryer | 23 | $14 0.1% of $21,248 |
| Life | Colonial Life & Accident Insurance Company | Julia Bucceri | 23 | $10 0.0% of $21,248 |
| Life | Colonial Life & Accident Insurance Company | The Clark Group Of Sc | 23 | $17 0.1% of $21,248 |
| Life | Colonial Life & Accident Insurance Company | Timothy J Slater | 23 | $12 0.1% of $21,248 |
| Life | Colonial Life & Accident Insurance Company | Bryce William Smith | 23 | $8 0.0% of $21,248 |
| Life | Colonial Life & Accident Insurance Company | Lisa M Bryer | 23 | $1 0.0% of $21,248 |
| Life | Colonial Life & Accident Insurance Company | Artina Lynette Mcknight | 23 | $1 0.0% of $21,248 |
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.