Employer
Blackburn'S Physicians Pharmacy, Inc.
301 Corbet St, Tarentum, PA 15084 · EIN 25-1619077 · 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.
Visible subtotal $42,350
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Highmark Inc. | Nathan Macioce | 176 | $26,862 2.9% of $917,384 |
| Dental | Metropolitan Life Insurance Company | Usi Insurance Services (Ri) | 185 | $9,458 18.0% of $52,597 |
| Dental | Metropolitan Life Insurance Company | Gallagher Fiduciary Advisors, LLC | 185 | $127 0.2% of $52,597 |
| Dental | Metropolitan Life Insurance Company | Gallagher Fiduciary Advisors, LLC | 185 | $106 0.2% of $52,597 |
| Vision | Heartland | Usi Insurance Services (Ri) | 183 | $1,209 10.0% of $12,088 |
| Life | United Of Omaha Life Insurance Company | Usi Insurance Services (Ri) | 159 | $4,588 13.8% of $33,281 |
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.
No Schedule C parties in this year.