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Employer
700 Cranberry Woods Drive, Cranberry Township, PA 16066 · EIN 25-0698270 · Jan 1, 2024 to Dec 31, 2024
Plan year 2024
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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 $298,388
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Vision | Eyemed Vision Care On Behalf Of Fidelity Security Life Insurance Co. | — | 6806 | Comp not disclosed Premium $404,550 |
| Vision | Eyemed Vision Care On Behalf Of Fidelity Security Life Insurance Co. | — | 3639 | Comp not disclosed Premium $601,271 |
| Vision | Eyemed Vision Care On Behalf Of Fidelity Security Life Insurance Co. | — | 39 | Comp not disclosed Premium $2,173 |
| Vision | Eyemed Vision Care On Behalf Of Fidelity Security Life Insurance Co. | — | 36 | Comp not disclosed Premium $7,221 |
| Vision | Vision Benefits Of America | — | 334 | Comp not disclosed Premium $31,312 |
| Life | Metropolitan Life Insurance Company | — | 11604 | Comp not disclosed Premium $712,861 |
| Life | Metropolitan Life Insurance Company | — | 261 | Comp not disclosed Premium $174,061 |
| Life | Metropolitan Life Insurance Company | Havens & Co Inc | 4183 | $51,203 4.3% of $1,182,787 |
| Life | Provident Life And Accident Insurance Company | Mercer Health & Benefits, LLC | 89 | $832 2.0% of $40,671 |
| Life | Provident Life And Accident Insurance Company | Custom Benefit Programs, Inc. | 89 | $535 1.3% of $40,671 |
| Life | Provident Life And Accident Insurance Company | Buck Global, LLC | 89 | $35 0.1% of $40,671 |
| Life | Provident Life And Accident Insurance Company | Hugo Christopher Guckert | 89 | $23 0.1% of $40,671 |
| Life | Provident Life And Accident Insurance Company | James Ward | 89 | $9 0.0% of $40,671 |
| Critical Illness | Metropolitan Life Insurance Company | Havens & Co Inc | 3941 | $50,573 8.8% of $573,391 |
| Other | Lincoln National Life Insurance Company | Havens And Company Inc. | 5035 | $121,459 7.8% of $1,557,343 |
| Accident | Metropolitan Life Insurance Company | Havens & Co Inc | 3661 | $26,713 8.8% of $301,970 |
| Critical Illness, Accident | Unum Life Insurance Company Of America | Custom Benefit Programs, Inc. | 21 | $427 7.9% of $5,411 |
| Critical Illness, Accident | Unum Life Insurance Company Of America | Buck Global, LLC | 21 | $62 1.1% of $5,411 |
| Hosptial Indemnity | Metropolitan Life Insurance Company | Havens & Co. Inc. | 2351 | $32,573 8.0% of $406,863 |
| Legal | Metlife Legal Plans | Havens & Company | 722 | $13,944 11.0% of $126,470 |
| Business Travel Accident | Metropolitan Life Insurance Company | — | 53 | Comp not disclosed Premium $7,500 |
| Employee Assistance Program | Compsych | — | 32822 | Comp not disclosed Premium $368,821 |
| Medical | Highmark, Inc. | — | 108 | Comp not disclosed Premium $509,433 |
| Medical | Anthem Blue Cross Blue Shield | — | 8 | Comp not disclosed Premium $38,317 |
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.