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Employer
210 Fifth Street, Charleroi, PA 15022 · EIN 25-1335081 · 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 $61,973
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Highmark, Inc. | Henderson Brothers Inc. | 271 | $34,012 1.6% of $2,142,011 |
| Medical | Principal Life Insurance Company | Henderson Brothers Inc. | 292 | $3,823 4.5% of $84,076 |
| Medical | Principal Life Insurance Company | Centro Benefits Research LLC | 292 | $3,364 4.0% of $84,076 |
| Vision | National Vision Administrators | Henderson Brothers Inc. | 275 | $804 5.0% of $16,080 |
| Life | United Of Omaha Life Insurance Company | Henderson Brothers Inc. | 165 | $4,211 15.7% of $26,828 |
| Life | United Of Omaha Life Insurance Company | Watchtower Benefits, LLC | 165 | $402 1.5% of $26,828 |
| Life | United Of Omaha Life Insurance Company | Henderson Brothers Inc. | 37 | $3,216 15.8% of $20,376 |
| Life | United Of Omaha Life Insurance Company | Watchtower Benefits, LLC | 37 | $306 1.5% of $20,376 |
| Life | American Heritage Life Insurance Company | Royal Oak Benefit Invstmts LLC | 1 | $23 4.9% of $474 |
| Life | American Heritage Life Insurance Company | The Hdh Group, Inc. | 1 | $15 3.2% of $474 |
| Other | United Of Omaha Life Insurance Company | Henderson Brothers Inc. | 165 | $4,454 18.8% of $23,632 |
| Other | United Of Omaha Life Insurance Company | Watchtower Benefits, LLC | 165 | $354 1.5% of $23,632 |
| Other | United Of Omaha Life Insurance Company | Henderson Brothers Inc. | 165 | $6,313 14.0% of $45,053 |
| Other | United Of Omaha Life Insurance Company | Watchtower Benefits, LLC | 165 | $676 1.5% of $45,053 |
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.