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Employer
167 Dexter Drive, Monroeville, PA 15146 · EIN 25-1472222 · Dec 1, 2024 to Nov 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 $37,365
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Highmark, Inc. | American Insurance Administrators | 154 | $20,290 3.0% of $676,180 |
| Dental | Guardian Life Insurance Company Of America | — | 93 | Schedule A not provided |
| Dental | Guardian Life Insurance Company Of America | — | 93 | Schedule A not provided |
| Dental | Guardian Life Insurance Company Of America | — | 93 | Schedule A not provided |
| Dental | Guardian Life Insurance Company Of America | — | 93 | Schedule A not provided |
| Life | United Of Omaha Life Insurance Company | American Insurance Administrators | 109 | $281 3.3% of $8,628 |
| Life | United Of Omaha Life Insurance Company | Alera Group Inc DBA Coury Health Sv | 109 | $496 5.7% of $8,628 |
| Life | United Of Omaha Life Insurance Company | Alera Group Inc DBA Coury Health Sv | 109 | $863 10.0% of $8,628 |
| Life | United Of Omaha Life Insurance Company | Alera General Agency Insurance Serv | 109 | $221 2.6% of $8,628 |
| Life | United Of Omaha Life Insurance Company | American Insurance Administrators | 39 | $512 3.6% of $14,232 |
| Life | United Of Omaha Life Insurance Company | Alera Group Inc DBA Coury Health Sv | 39 | $956 6.7% of $14,232 |
| Life | United Of Omaha Life Insurance Company | Alera Group Inc DBA Coury Health Sv | 39 | $2,135 15.0% of $14,232 |
| Life | United Of Omaha Life Insurance Company | Alera General Agency Insurance Serv | 39 | $337 2.4% of $14,232 |
| Other | United Of Omaha Life Insurance Company | American Insurance Administrators | 109 | $625 3.2% of $19,293 |
| Other | United Of Omaha Life Insurance Company | Alera Group Inc DBA Coury Health Sv | 109 | $1,124 5.8% of $19,293 |
| Other | United Of Omaha Life Insurance Company | Alera Group Inc DBA Coury Health Sv | 109 | $2,679 13.9% of $19,293 |
| Other | United Of Omaha Life Insurance Company | Alera General Agency Insurance Serv | 109 | $500 2.6% of $19,293 |
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.