Employer

Bd Of Trustees Ufcw, Local 1776ks, Wd And Employers Health Fund

345 Southpointe Blvd Ste 200, Canonsburg, PA 15317 · EIN 23-7083247 · Oct 1, 2024 to Sep 30, 2025

Plan year 2024

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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.

Coverage	Carrier	Broker	Lives	Direct comp
Medical	Highmark Freedom Blue	—	152	Comp not disclosed Premium $519,666
Life	Dearborn National Life Insurance Company	—	4951	Comp not disclosed Premium $225,183

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.

Visible subtotal $3,364,784

Party	Type	Amount	$ / Enrolled / Year
Highmark	None	$2,124,623	$405.00
United Concordia Companies, Inc.	None	$169,881	$32.38
Cheryl Hamerski	None	$147,524	$28.12
Lori Redshaw	None	$76,162	$14.52
Donna Lapacik	None	$68,174	$13.00
Angela Chapley	None	$64,165	$12.23
Foster & Foster, Inc.	None	$60,021	$11.44
Sharon Kasenic	None	$57,943	$11.05
Michaele Andrison	None	$57,776	$11.01
Carol Taylor	None	$49,466	$9.43
Connie Churchel	None	$42,366	$8.08
Dejanira Okorn	None	$38,804	$7.40
Deborah Kollar	None	$38,316	$7.30
Heather Jablonski	None	$36,958	$7.04
Debra Congie	None	$34,547	$6.59
Chartwell Investment Partners	None	$32,658	$6.23
Logan, Mettley & Newcomer, Plc	None	$30,394	$5.79
Diclaudio & Kramer, LLC	None	$30,000	$5.72
Intercontinental Real Estate Corp	None	$29,621	$5.65
Pnc Advisors	None	$29,608	$5.64
Mariner Institutional, LLC	None	$22,000	$4.19
Meyer, Unkovic & Scott	None	$21,177	$4.04
Jean Ereditario	None	$20,756	$3.96
Asb Capital Management LLC	None	$19,437	$3.71
National Vision Administrators, LLC	None	$18,007	$3.43
Kimberly Patosky	None	$9,873	$1.88
Csmckee	None	$8,862	$1.69
Twin Capital Management	None	$7,160	$1.36
Optumrx, Inc.	None	$6,762	$1.29
Thomas Malick	None	$6,621	$1.26
Edward Auer	None	$5,122	$0.98

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