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Employer
400 Commonwealth Drive, Warrendale, PA 15096 · EIN 82-2833702 · 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 $158,637
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Sun Life Assurance Company Of Canada | Henderson Brothers Inc. | 376 | $116,689 10.8% of $1,081,230 |
| Vision | Eyemed Vision Care On Behalf Of The Fidelity Security Life Ins.Co. | Henderson Brothers Inc. | 829 | $1,954 5.8% of $33,893 |
| Vision | Eyemed Vision Care On Behalf Of The Fidelity Security Life Ins.Co. | Assurex Global Corporation - Exchan | 829 | $1,954 5.8% of $33,893 |
| Vision | Eyemed Vision Care On Behalf Of The Fidelity Security Life Ins.Co. | Henderson Brothers Inc. | 10 | $24 6.0% of $402 |
| Vision | Eyemed Vision Care On Behalf Of The Fidelity Security Life Ins.Co. | Assurex Global Corporation - Exchan | 10 | $24 6.0% of $402 |
| Life | Standard Insurance Company | Henderson Brothers Inc. | 498 | $4,236 3.3% of $130,007 |
| Other | Standard Insurance Company | Henderson Brothers Inc. | 476 | $5,374 3.6% of $149,951 |
| Employee Assistance Program | Lytle Behavioral Health | — | 541 | Comp not disclosed Premium $22,332 |
| Accident Insurance, Critical Illness Insurance, Hospital Confinement | Reliastar Life Insurance Company | Henderson Brothers Inc. | 279 | $26,636 22.9% of $116,412 |
| Accident Insurance, Critical Illness Insurance, Hospital Confinement | Reliastar Life Insurance Company | Watchtower Benefits, LLC | 279 | $1,746 1.5% of $116,412 |
| Accidental Death & Dismemberment Insurance | Federal Insurance Company | — | 745 | Comp not disclosed |
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.