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Employer
532 West Pittsburgh Street, Greensburg, PA 15601 · EIN 25-1471089 · Jan 1, 2023 to Dec 31, 2023
Plan year 2023
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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 $244,850
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | HM Life Insurance Company | Henderson Brothers Inc. | 1663 | $16,391 3.0% of $546,355 |
| Stop-loss | HM Life Insurance Company | Henderson Brothers Inc. | 870 | $9,594 3.0% of $319,797 |
| Dental + Vision | Humana Insurance Company | Henderson Brothers Inc. | 101 | $4,048 6.3% of $63,772 |
| Dental + Vision | Humana Insurance Company | The Mcclain Group LLC | 101 | $2,334 3.7% of $63,772 |
| Life | Standard Insurance Company | Henderson Brothers Inc. | 3433 | $20,211 3.7% of $552,663 |
| Life | Colonial Life & Accident Insurance Company | The Mcclain Group LLC | 91 | $7,880 10.1% of $78,041 |
| Life | Colonial Life & Accident Insurance Company | Henderson Brothers Inc. | 91 | $7,424 9.5% of $78,041 |
| Life | Colonial Life & Accident Insurance Company | Donna Troxell | 91 | $719 0.9% of $78,041 |
| Life | Colonial Life & Accident Insurance Company | Timothy Birdsong | 91 | $512 0.7% of $78,041 |
| Life | Colonial Life & Accident Insurance Company | Robin Elliott | 91 | $456 0.6% of $78,041 |
| Other | Standard Insurance Company | Henderson Brothers Inc. | 3401 | $33,854 6.0% of $567,643 |
| Other | Standard Insurance Company | — | 2135 | Comp not disclosed Premium $1,421,271 |
| Accident, Critical Illness, Hospital Indemnity | Reliastar Life Insurance Company | Henderson Brothers Inc. | 1655 | $74,335 12.3% of $606,133 |
| Accident, Critical Illness, Hospital Indemnity | Reliastar Life Insurance Company | The Mcclain Group LLC | 1655 | $66,750 11.0% of $606,133 |
| Business Travel Accident | Hartford Fire Insurance Company | Henderson Brothers Inc. | — | $342 15.0% of $2,282 |
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.