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Employer
1151 Garden St, Greensburg, PA 15601 · EIN 25-1193904 · 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 $102,442
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Life | Reliance Standard Life Insurance Company | The Hdh Group, Inc. | 193 | $8,719 5.8% of $150,418 |
| Life | Reliance Standard Life Insurance Company | Hub International | 193 | $4,769 3.2% of $150,418 |
| Life | Reliance Standard Life Insurance Company | Henderson Brothers Inc. | 193 | $-6 0.0% of $150,418 |
| Vision | Vision Benefits Of America | The Hdh Group, Inc. | 153 | $625 5.0% of $12,497 |
| Dental | United Concordia Insurance Company | — | 262 | Schedule A not provided |
| Dental | United Concordia Insurance Company | — | 262 | Schedule A not provided |
| Medical | Highmark Inc | The Hdh Group, Inc. | 342 | $82,042 3.0% of $2,738,116 |
| Accident, Critical Illness, Hospital | Reliastar Life Insurance Company | Bene Re LLC | 66 | $1,678 8.0% of $20,979 |
| Accident, Critical Illness, Hospital | Reliastar Life Insurance Company | The Hdh Group, Inc. | 66 | $1,381 6.6% of $20,979 |
| Accident, Critical Illness, Hospital | Reliastar Life Insurance Company | Hub Heartland LLC | 66 | $717 3.4% of $20,979 |
| Accident, Critical Illness, Hospital | Reliastar Life Insurance Company | Hub International | 66 | Comp not disclosed Premium $20,979 |
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.