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Employer
2000 Georgetown Dr Ste 204, Sewickley, PA 15143 · EIN 25-1820946 · Jul 1, 2024 to Jun 30, 2025
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 $66,550
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Cigna Health And Life Insurance Company And Affiliates | First Person, Inc | 207 | $1,979 0.2% of $1,073,567 |
| Stop-loss | Cigna Health And Life Insurance Company And Affiliates | Usi Insurance Services (Ri) | 207 | $19,830 1.8% of $1,073,567 |
| Life | United Of Omaha Life Insurance Company | Usi Insurance Services (Ri) | 247 | $17,193 9.5% of $180,607 |
| Telehealth | Teledoc Health, Inc | — | 177 | Schedule A not provided |
| Hospital Indemnity | Cigna Health And Life Insurance Company And Affiliates | First Person, Inc | 30 | $254 2.9% of $8,888 |
| Hospital Indemnity | Cigna Health And Life Insurance Company And Affiliates | Usi Insurance Services (Ri) | 30 | $8,672 97.6% of $8,888 |
| Hospital Indemnity | Cigna Health And Life Insurance Company And Affiliates | Bswift, LLC | 30 | $435 4.9% of $8,888 |
| Critical Illness | Cigna Health And Life Insurance Company And Affiliates | First Person, Inc | 35 | $535 4.0% of $13,473 |
| Critical Illness | Cigna Health And Life Insurance Company And Affiliates | Usi Insurance Services (Ri) | 35 | $6,516 48.4% of $13,473 |
| Critical Illness | Cigna Health And Life Insurance Company And Affiliates | Bswift, LLC | 35 | $396 2.9% of $13,473 |
| Accident | Cigna Health And Life Insurance Company And Affiliates | Bswift, LLC | 36 | $414 5.1% of $8,105 |
| Accident | Cigna Health And Life Insurance Company And Affiliates | First Person, Inc | 36 | $176 2.2% of $8,105 |
| Accident | Cigna Health And Life Insurance Company And Affiliates | Usi Insurance Services (Ri) | 36 | $7,858 97.0% of $8,105 |
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.