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Employer
200 Airside Drive, Suite 260, Coraopolis, PA 15108 · EIN 62-1366414 · Jan 1, 2024 to Dec 31, 2024
Plan year 2024
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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 $66,812
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Dental | United Concordia Insurance Company | Willis Towers Watson Northeast, Inc | 427 | $19,039 9.7% of $196,036 |
| Vision | Eyemed Vision Care On Behalf Of Fidelity Security Life Insurance Co. | Willis Towers Watson Northeast, Inc | 408 | $2,067 6.9% of $29,916 |
| Life | United Of Omaha Life Insurance Company | Willis Towers Watson Northeast, Inc | 362 | $8,414 10.0% of $84,139 |
| Life | United Of Omaha Life Insurance Company | Fmlasource Inc | 362 | $6,661 7.9% of $84,139 |
| Life | United Of Omaha Life Insurance Company | Willis Towers Watson Northeast, Inc | 93 | $7,049 15.0% of $46,990 |
| Other | United Of Omaha Life Insurance Company | Willis Towers Watson Northeast, Inc | 360 | $6,463 10.0% of $64,629 |
| Critical Illness | United Of Omaha Life Insurance Company | Willis Towers Watson Northeast, Inc | 42 | $6,382 25.0% of $25,529 |
| Accident | United Of Omaha Life Insurance Company | Willis Towers Watson Northeast, Inc | 54 | $2,831 25.0% of $11,325 |
| Other | United Of Omaha Life Insurance Company | Willis Towers Watson Northeast, Inc | 358 | $6,062 10.0% of $60,624 |
| Hospital Indemnity | United Of Omaha Life Insurance Company | Willis Towers Watson Northeast, Inc | 33 | $1,844 20.0% of $9,218 |
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.