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Employer
60 Abele Road, Suite 1106, Bridgeville, PA 15017 · EIN 90-0997234 · Jan 1, 2022 to Dec 31, 2022
Plan year 2022
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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 $19,119
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Highmark Inc. | Gallagher Fiduciary Advisors, LLC | 21 | $10,992 2.4% of $461,069 |
| Dental | United Concordia Insurance Company | — | 21 | Schedule A not provided |
| Vision | Vision Benefits Of America | Gallagher Fiduciary Advisors, LLC | 9 | $71 3.0% of $2,379 |
| Life | American United Life Insurance Company | — | 4 | Schedule A not provided |
| Accident, Critical Illness, Cancer | Colonial Life And Accident Insurance Company | Benechoice Enrollment Solutions | 7 | $339 2.7% of $12,357 |
| Accident, Critical Illness, Cancer | Colonial Life And Accident Insurance Company | Gallagher Fiduciary Advisors, LLC | 7 | $232 1.9% of $12,357 |
| Accident, Critical Illness, Cancer | Colonial Life And Accident Insurance Company | Mary J. Yarnell | 7 | $93 0.8% of $12,357 |
| Accident, Critical Illness, Cancer | Colonial Life And Accident Insurance Company | Ashley Elcock | 7 | $46 0.4% of $12,357 |
| Accident, Critical Illness, Cancer | Colonial Life And Accident Insurance Company | Clarice R. Mims | 7 | $21 0.2% of $12,357 |
| Accident, Critical Illness, Cancer | Colonial Life And Accident Insurance Company | Alexander Ottoniel Canas | 7 | $1 0.0% of $12,357 |
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.