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Employer
3333 5th Avenue, Pittsburgh, PA 15213 · EIN 25-0965438 · Jan 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 $35,198
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Upmc Benefit Management Services | — | 313 | Schedule A not provided |
| Dental | United Concordia Insurance Company | — | 388 | Schedule A not provided |
| Vision | Highmark Inc. | — | 577 | Comp not disclosed Premium $38,033 |
| Life | The Lincoln National Life Insurance Company | Henderson Brothers Inc. | 312 | $2,207 11.3% of $19,577 |
| Life | The Lincoln National Life Insurance Company | Henderson Brothers Inc. | 139 | $10,459 16.0% of $65,450 |
| Other | The Lincoln National Life Insurance Company | Henderson Brothers Inc. | 313 | $4,248 4.7% of $91,126 |
| Employee Assistance Program | The Lincoln National Life Insurance Company | Henderson Brothers Inc. | 312 | $5,125 9.4% of $54,403 |
| Accident, Critical Illness, Hospital | Reliastar Life Insurance Company | Henderson Brothers Inc. | 72 | $4,441 10.8% of $40,960 |
| Accident, Critical Illness, Hospital | Reliastar Life Insurance Company | The Worksite Group, LLC | 72 | $4,136 10.1% of $40,960 |
| Accident, Critical Illness, Hospital | Reliastar Life Insurance Company | T2b Solutions, Inc. | 72 | $307 0.7% of $40,960 |
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.