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Employer
3130 William Pitt Way, Pittsburgh, PA 15238 · EIN 25-1103630 · Jul 1, 2024 to Jun 30, 2025
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 $569
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Dental | Sun Life And Health Insurance Company | — | — | Schedule A not provided |
| Dental | Guardian | Bbr Benefits Solutions LLC | 40 | $335 10.2% of $3,283 |
| Dental | Guardian | Lifetime Financial Growth | 40 | $7 0.2% of $3,283 |
| Life | Lincoln Financial Group | Bbr Benefits Solutions LLC | 162 | $208 6.2% of $3,354 |
| Other | Lincoln Financial Group | — | — | Comp not disclosed |
| Di; Acc; Life; Ul | Combined Insurance Company Of America | Carosella Insurance Agency LLC | 7 | $10 2.5% of $406 |
| Di; Acc; Life; Ul | Combined Insurance Company Of America | First National Insurance Agency | 7 | $9 2.2% of $406 |
| Stop-loss | Everest Reinsurance Company | — | 47 | Comp not disclosed Premium $61,533 |
| Dental | Sun Life And Health Insurance Company | — | — | Schedule A not provided |
| Dental | Guardian | — | — | Schedule A not provided |
| Life | Lincoln Financial Group | — | — | Schedule A not provided |
| Other | Lincoln Financial Group | — | — | Schedule A not provided |
| Di; Acc; Life; Ul | Combined Insurance Company Of America | — | — | Schedule A not provided |
| Stop-loss | Everest Reinsurance Company | — | — | Comp not disclosed Premium $5,765 |
| Stop-loss | Fair American Insurance And Reinsurance Company | — | 30 | Comp not disclosed Premium $278,329 |
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 $36,854
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| The Benecon Group LLC | Broker | $2,898 | $60.38 |
| Reschini Agency., Inc. | Broker | $1,920 | $40.00 |
| Meritain Health, An Aetna Company | Admin | $1,050 | $21.88 |
| ConnectCare3 | Patient Advocate | $524 | $10.92 |
| The Benecon Group LLC | Broker | $17,435 | $370.96 |
| Reschini Agency., Inc. | Broker | $8,300 | $176.60 |
| Meritain Health, An Aetna Company | Admin | $4,727 | $100.57 |