Employer
Bd Of Trust I.U.P.A.T. Welfare Fund Of Western Pennsylvania
5 Hot Metal St Ste 200, Pittsburgh, PA 15203 · EIN 25-1010829 · Jan 1, 2021 to Dec 31, 2021
Plan year 2021
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Schedule A
Direct compensation
Coverage contracts on the filing. If the carrier did not provide Schedule A, the row is listed with that note.
Visible subtotal $19,495
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Union Labor Life Insurance Company | Commercial Group Intermediaries,Inc | 1197 | $19,495 5.0% of $389,909 |
| Dental | United Concordia Insurance Company | — | 178 | Comp not disclosed Premium $72,003 |
Schedule C
Additional compensation
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.
Visible subtotal $1,133,770
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Highmark | None | $435,716 | $364.01 |
| Central Data Services | Contract Administrator | $364,200 | $304.26 |
| Pnc Bank | None | $123,785 | $103.41 |
| Tucker Arensberg | None | $62,817 | $52.48 |
| Upmc Health Plan | None | $53,151 | $44.40 |
| Buck Consultants, LLC | None | $38,000 | $31.75 |
| Diclaudio & Kramer, LLC | None | $35,093 | $29.32 |
| Meyer, Unkovic, & Scott | None | $21,008 | $17.55 |