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Employer
1 Hospital Way, Butler, PA 16001 · EIN 25-1441961 · 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 $70,443
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | HM Life Insurance Company | — | — | Comp not disclosed Premium $43,158 |
| Stop-loss | HM Life Insurance Company | — | — | Comp not disclosed Premium $175,089 |
| Vision | Vision Benefits Of America | — | — | Comp not disclosed Premium $23,355 |
| Vision | Vision Benefits Of America | — | — | Comp not disclosed Premium $58,126 |
| Life | Trustmark Insurance Company | Marilyn Hill | — | $3 0.1% of $4,817 |
| Life | Trustmark Insurance Company | Security Marketing Group | — | $172 3.6% of $4,817 |
| Life | Trustmark Insurance Company | Arthur Mccauley | — | $36 0.7% of $4,817 |
| Life | Trustmark Insurance Company | Joseph Esposito | — | $30 0.6% of $4,817 |
| Life | Trustmark Insurance Company | Henderson Brothers Inc. | — | $9,188 16.1% of $57,137 |
| Life | Trustmark Insurance Company | The Mcclain Group LLC | — | $6,690 11.7% of $57,137 |
| Other | Trustmark Insurance Company | Henderson Brothers Inc. | — | $10,396 7.7% of $135,327 |
| Other | Trustmark Insurance Company | The Mcclain Group, LLC | — | $9,678 7.2% of $135,327 |
| Accident, Critical Illness, Hospital Indemnity | Reliastar Life Insurance Company | The Mcclain Group LLC | — | $18,207 17.0% of $106,968 |
| Accident, Critical Illness, Hospital Indemnity | Reliastar Life Insurance Company | Henderson Brothers Inc. | — | $10,731 10.0% of $106,968 |
| Accident, Critical Illness, Hospital Indemnity | Reliastar Life Insurance Company | Selerix System Inc | — | $4,279 4.0% of $106,968 |
| Prepaid Legal | Legalplans, Usa | Mcclain | — | $560 6.5% of $8,608 |
| Prepaid Legal | Legalplans, Usa | Henderson Brothers Inc. | — | $301 3.5% of $8,608 |
| Prepaid Legal | Legalplans, Usa | Us National Benefit Partners West | — | $172 2.0% of $8,608 |
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.