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Employer
191 Front Street, Zelienople, PA 16063 · EIN 25-1560314 · Dec 1, 2025 to Dec 31, 2025
Plan year 2025
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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 $6,726
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Principal Life Insurance Company | Alera General Agency Insurance | 178 | $199 5.6% of $3,567 |
| Medical | Principal Life Insurance Company | Coury Health Services, LLC | 178 | $188 5.3% of $3,567 |
| Life | Equitable Financial Life Insurance Company Of America | — | 126 | Schedule A not provided |
| Accident, Critical Illness | Colonial Life & Accident Insurance Company | Coury Health Services, LLC | 3 | $139 4.6% of $2,993 |
| Accident, Critical Illness | Colonial Life & Accident Insurance Company | Sara Marie Bryer | 3 | $93 3.1% of $2,993 |
| Accident, Critical Illness | Colonial Life & Accident Insurance Company | Bryer Insurance Services | 3 | $93 3.1% of $2,993 |
| Accident, Critical Illness | Colonial Life & Accident Insurance Company | Bryer Insurance Services Inc | 1 | $65 3.6% of $1,806 |
| Accident, Critical Illness | Colonial Life & Accident Insurance Company | Coury Health Services, LLC | 1 | $54 3.0% of $1,806 |
| Accident, Critical Illness | Colonial Life & Accident Insurance Company | Sara Marie Bryer | 1 | $11 0.6% of $1,806 |
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 $81,677
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Brokerage Concepts, Inc. | Admin | $81,677 | $458.86 |