Loading employer…
Employer
2800 Mcclelland Avenue, Erie, PA 16510 · EIN 25-1008495 · Jan 1, 2024 to Dec 31, 2024
Plan year 2024
View
Schedule A
Coverage contracts on the filing. If the carrier did not provide Schedule A, the row is listed with that note.
Visible subtotal $31,372
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Upmc Health Options | Lillis Mckibben Bongiovanni & Co (L | 56 | $7,056 2.6% of $276,683 |
| Medical | Upmc Health Options | Lillis Mckibben Bongiovanni & Co (L | 7 | $829 1.8% of $45,353 |
| Medical | Upmc Health Options | Lillis Mckibben Bongiovanni & Co (L | 8 | $1,187 2.3% of $50,889 |
| Medical | Upmc Health Options | Lillis Mckibben Bongiovanni & Co (L | 64 | $9,146 2.4% of $377,776 |
| Medical | Upmc Health Options | Lillis Mckibben Bongiovanni & Co (L | 7 | $1,267 1.9% of $65,535 |
| Medical | Upmc Health Options | Lillis Mckibben Bongiovanni & Co (L | 4 | $503 2.1% of $24,525 |
| Medical | Upmc Health Options | Lillis Mckibben Bongiovanni & Co (L | 1 | $90 1.8% of $4,935 |
| Dental | Sun Life Assurance Company Of Canada | Vicary Insurance Agency, LLC | 108 | $2,621 5.5% of $47,781 |
| Vision | Vision Benefits Of America | Vicary Insurance Agency, LLC | 92 | $677 7.0% of $9,611 |
| Vision | Vision Benefits Of America | Manufacturer & Business Association | 92 | $190 2.0% of $9,611 |
| Life | Lincoln National Life Insurance Company | Lillis Mckibben Bongiovanni & Co (L | 113 | $922 15.0% of $6,146 |
| Life | Lincoln National Life Insurance Company | Archon LLC | 113 | $307 5.0% of $6,146 |
| AD&D | Lincoln National Life Insurance Company | Lillis Mckibben Bongiovanni & Co (L | 35 | $2,067 15.0% of $13,781 |
| AD&D | Lincoln National Life Insurance Company | Archon LLC | 35 | $689 5.0% of $13,781 |
| Other | Lincoln National Life Insurance Company | Lillis Mckibben Bongiovanni & Co (L | 32 | $1,056 15.0% of $7,042 |
| Other | Lincoln National Life Insurance Company | Archon LLC | 32 | $352 5.0% of $7,042 |
| Other | Lincoln National Life Insurance Company | Lillis Mckibben Bongiovanni & Co (L | 93 | $1,483 4.7% of $31,337 |
| Other | Lincoln National Life Insurance Company | Archon LLC | 93 | $930 3.0% of $31,337 |
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.