Loading employer…
Employer
9840 Old Perry Highway, Wexford, PA 15090 · EIN 81-5423461 · Aug 1, 2024 to Jul 31, 2025
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 $69,321
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Upmc Health Options | Alera DBA Arms Insurance Group | 5 | $2,498 2.9% of $85,196 |
| Medical | Upmc Health Options | Alera DBA Arms Insurance Group | 3 | $1,113 3.4% of $32,881 |
| Medical | Upmc Health Options | Alera DBA Arms Insurance Group | 6 | $1,389 2.9% of $48,674 |
| Medical | Upmc Health Options | Alera DBA Arms Insurance Group | 32 | $8,420 3.0% of $281,285 |
| Medical | Upmc Health Options | Alera DBA Arms Insurance Group | 15 | $6,449 3.1% of $209,274 |
| Medical | Upmc Health Options | Alera DBA Arms Insurance Group | 61 | $13,208 3.0% of $439,441 |
| Dental | United Of Omaha Life Insurance Company | American Insurance Administrators | 124 | $2,730 4.7% of $57,990 |
| Dental | United Of Omaha Life Insurance Company | Alera Group Inc DBA Coury Health | 124 | $2,685 4.6% of $57,990 |
| Dental | United Of Omaha Life Insurance Company | Alera Group Inc DBA Coury Health | 124 | $2,101 3.6% of $57,990 |
| Dental | United Of Omaha Life Insurance Company | Alera General Agency Insurance Serv | 124 | $470 0.8% of $57,990 |
| Vision | Vision Benefits Of America | Coury Health Services, LLC | 84 | $497 7.6% of $6,543 |
| Life | United Of Omaha Life Insurance Company | Alera Group Inc DBA Coury Health | 216 | $3,335 9.1% of $36,708 |
| Life | United Of Omaha Life Insurance Company | Alera Group Inc DBA Coury Health | 216 | $2,572 7.0% of $36,708 |
| Life | United Of Omaha Life Insurance Company | American Insurance Administrators | 216 | $1,895 5.2% of $36,708 |
| Life | United Of Omaha Life Insurance Company | Alera General Agency Insurance Serv | 216 | $308 0.8% of $36,708 |
| AD&D | United Of Omaha Life Insurance Company | Alera Group Inc DBA Coury Health | 61 | $2,466 10.0% of $24,655 |
| AD&D | United Of Omaha Life Insurance Company | Alera Group Inc DBA Coury Health | 61 | $1,838 7.5% of $24,655 |
| AD&D | United Of Omaha Life Insurance Company | American Insurance Administrators | 61 | $1,294 5.2% of $24,655 |
| AD&D | United Of Omaha Life Insurance Company | Alera General Agency Insurance Serv | 61 | $201 0.8% of $24,655 |
| Other | United Of Omaha Life Insurance Company | Alera Group Inc DBA Coury Health | 216 | $3,510 11.6% of $30,190 |
| Other | United Of Omaha Life Insurance Company | Alera Group Inc DBA Coury Health | 216 | $2,114 7.0% of $30,190 |
| Other | United Of Omaha Life Insurance Company | American Insurance Administrators | 216 | $302 1.0% of $30,190 |
| Other | United Of Omaha Life Insurance Company | Alera Group Inc DBA Coury Health | 216 | $3,276 9.2% of $35,526 |
| Other | United Of Omaha Life Insurance Company | Alera Group Inc DBA Coury Health | 216 | $2,514 7.1% of $35,526 |
| Other | United Of Omaha Life Insurance Company | American Insurance Administrators | 216 | $1,837 5.2% of $35,526 |
| Other | United Of Omaha Life Insurance Company | Alera General Agency Insurance Serv | 216 | $299 0.8% of $35,526 |
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.