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Employer
2005 North Center Avenue, Somerset, PA 15501 · EIN 26-2417607 · 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 $45,588
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Upmc Health Options | — | 155 | Schedule A not provided |
| Medical | Upmc Health Benefits | — | 119 | Schedule A not provided |
| Life | Metropolitan Life Insurance Company | Benefits Network, Inc. | 146 | $4,804 10.1% of $47,361 |
| Life | Metropolitan Life Insurance Company | Nfp Ins Services Inc | 146 | $363 0.8% of $47,361 |
| Voluntary Benefits | Aflac | Brittany Finger | 67 | $2,322 6.1% of $37,825 |
| Voluntary Benefits | Aflac | Robert J. Elbin, Jr. | 67 | $1,519 4.0% of $37,825 |
| Voluntary Benefits | Aflac | Donald J. Mason | 67 | $979 2.6% of $37,825 |
| Voluntary Benefits | Aflac | Michael H. Fleming | 67 | $685 1.8% of $37,825 |
| Voluntary Benefits | Aflac | Emilee Scharler | 67 | $513 1.4% of $37,825 |
| Voluntary Benefits | Aflac | John E. Hrivnak | 67 | $263 0.7% of $37,825 |
| Voluntary Benefits | Aflac | Mandy Lee Mapes | 67 | $191 0.5% of $37,825 |
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.