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Employer
200 Bilmar Drive, Pittsburgh, PA 15205 · EIN 25-1222596 · Oct 1, 2024 to Sep 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 $28,528
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Berkley Life And Health Insurance Co. | — | 119 | Comp not disclosed Premium $383,525 |
| Medical | Principal Life Insurance Company | Coury Health Services, LLC | 197 | $2,762 5.6% of $48,984 |
| Medical | Principal Life Insurance Company | Alera General Agency Ins Svcs LLC | 197 | $2,453 5.0% of $48,984 |
| Medical | Principal Life Insurance Company | American Insurance Administrators | 197 | $670 1.4% of $48,984 |
| Vision | Highmark, Inc. | American Insurance Administrators | 166 | $364 3.2% of $11,223 |
| Life | United Of Omaha Life Insurance Company | Coury Health Services, LLC | 162 | $3,493 17.2% of $20,355 |
| Life | United Of Omaha Life Insurance Company | American Insurance Administrators | 162 | $208 1.0% of $20,355 |
| Life | United Of Omaha Life Insurance Company | Coury Health Services, LLC | 51 | $8,718 22.1% of $39,522 |
| Life | United Of Omaha Life Insurance Company | American Insurance Administrators | 51 | $399 1.0% of $39,522 |
| Other | United Of Omaha Life Insurance Company | Coury Health Services, LLC | 162 | $7,783 14.7% of $52,801 |
| Other | United Of Omaha Life Insurance Company | American Insurance Administrators | 162 | $532 1.0% of $52,801 |
| Accident | United Of Omaha Life Insurance Company | Coury Health Services, LLC | 41 | $1,102 20.7% of $5,313 |
| Accident | United Of Omaha Life Insurance Company | American Insurance Administrators | 41 | $44 0.8% of $5,313 |
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.