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Employer
9515 Goehring Road, Cranberry Township, PA 16066 · EIN 25-1320550 · 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 $185,320
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Cigna Health And Life Insurance Company | Assuredpartners Of Pennsylvania, Ll | 335 | $133,051 3.0% of $4,434,991 |
| Dental + Vision | The Guardian Life Insurance Company Of America | Assuredpartners Of Pennsylvania, Ll | 311 | $9,665 25.9% of $37,344 |
| Dental + Vision | The Guardian Life Insurance Company Of America | Professional Group Plans Inc | 311 | $1,867 5.0% of $37,344 |
| Life | The Lincoln National Life Insurance Company | Assuredpartners Of Pa, LLC | 131 | $4,272 15.0% of $28,477 |
| Life | The Lincoln National Life Insurance Company | Centro Benefits Research LLC | 131 | $1,424 5.0% of $28,477 |
| Life | The Lincoln National Life Insurance Company | Archon LLC | 131 | $1,316 4.6% of $28,477 |
| Life | The Lincoln National Life Insurance Company | Assuredpartners Of Pa, LLC | 382 | $2,694 7.4% of $36,411 |
| Life | The Lincoln National Life Insurance Company | Centro Benefits Research LLC | 382 | $1,821 5.0% of $36,411 |
| Life | The Lincoln National Life Insurance Company | Archon LLC | 382 | $1,677 4.6% of $36,411 |
| Weekly Income | The Lincoln National Life Insurance Company | Centro Benefits Research LLC | 305 | $6,695 5.0% of $133,901 |
| Weekly Income | The Lincoln National Life Insurance Company | Archon LLC | 305 | $6,181 4.6% of $133,901 |
| Weekly Income | The Lincoln National Life Insurance Company | Assuredpartners Of Pa, LLC | 305 | $4,035 3.0% of $133,901 |
| Other | The Lincoln National Life Insurance Company | Assuredpartners Of Pa, LLC | 382 | $4,779 7.9% of $60,765 |
| Other | The Lincoln National Life Insurance Company | Centro Benefits Research LLC | 382 | $3,038 5.0% of $60,765 |
| Other | The Lincoln National Life Insurance Company | Archon LLC | 382 | $2,805 4.6% of $60,765 |
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.
Visible subtotal $136,362
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Cigna Healh And Life Insurance Co | Broker | $136,362 | $356.97 |