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Employer
1 Hospital Way, Butler, PA 16001 · EIN 25-0965274 · Jan 1, 2023 to Dec 31, 2023
Plan year 2023
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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 $214,815
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | HM Life Insurance Company | — | — | Comp not disclosed Premium $103,141 |
| Stop-loss | HM Life Insurance Company | — | — | Comp not disclosed Premium $418,432 |
| Vision | Vision Benefits Of America | — | — | Comp not disclosed Premium $55,814 |
| Vision | Vision Benefits Of America | — | — | Comp not disclosed Premium $138,911 |
| Life | Trustmark Insurance Company | Security Marketing Group | — | $410 3.6% of $11,511 |
| Life | Trustmark Insurance Company | Arthur Mccauley | — | $85 0.7% of $11,511 |
| Life | Trustmark Insurance Company | Joseph Esposito | — | $71 0.6% of $11,511 |
| Life | Trustmark Insurance Company | Marilyn Hill | — | $7 0.1% of $11,511 |
| Life | Trustmark Insurance Company | Henderson Brothers Inc. | — | $21,958 16.1% of $136,548 |
| Life | Trustmark Insurance Company | The Mcclain Group LLC | — | $15,987 11.7% of $136,548 |
| Life | Reliance Standard Life Insurance Company | Gallagher Fiduciary Advisors, LLC | — | $9,326 7.8% of $119,642 |
| Life | Reliance Standard Life Insurance Company | Gallagher Fiduciary Advisors, LLC | — | $10,280 8.0% of $128,378 |
| Other | Trustmark Insurance Company | Henderson Brothers Inc. | — | $24,844 7.7% of $323,409 |
| Other | Trustmark Insurance Company | The Mcclain Group LLC | — | $23,130 7.2% of $323,409 |
| Accident, Critical Illness, Hospital Indemnity | Reliastar Life Insurance Company | The Mcclain Group LLC | — | $43,511 17.0% of $255,635 |
| Accident, Critical Illness, Hospital Indemnity | Reliastar Life Insurance Company | Henderson Brothers Inc. | — | $25,643 10.0% of $255,635 |
| Accident, Critical Illness, Hospital Indemnity | Reliastar Life Insurance Company | Selerix System, Inc. | — | $10,225 4.0% of $255,635 |
| Prepaid Legal | Legalplans, Usa | Mcclain | — | $1,337 6.5% of $20,572 |
| Prepaid Legal | Legalplans, Usa | Henderson Brothers Inc. | — | $720 3.5% of $20,572 |
| Prepaid Legal | Legalplans, Usa | Us National Benefit Partners West | — | $411 2.0% of $20,572 |
| Other | Reliance Standard Life Insurance Company | Gallagher Fiduciary Advisors, LLC | — | $26,870 7.8% of $346,370 |
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.