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Employer
650 Ridge Road, Ste 300, Pittsburgh, PA 15205 · EIN 23-7007718 · 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 $2,107,924
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Freedom Blue - Ppo | — | — | Comp not disclosed Premium $283,423 |
| Medical | Independence Blue Cross | Unmapped | 6932 | $1,933,004 100.2% of $1,928,954 |
| Medical | Aetna Map | — | 1350 | Comp not disclosed Premium $1,582,584 |
| Medical | Highmark Medical Ppo | — | — | Comp not disclosed Premium $53,722 |
| Dental | Delta Dental | Unmapped | — | $164,920 |
| Life | The Union Labor Life Insurance Company | The Segal Company | 6616 | $10,000 1.1% of $906,784 |
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 $10,932,814
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Delta Dental | None | $2,419,148 | $312.19 |
| Independence Blue Cross | None | $1,928,954 | $248.93 |
| Carpenters Combined Funds, Inc. | Administrator | $1,715,213 | $221.35 |
| Express Scripts | None | $1,623,947 | $209.57 |
| Aetna Map | Admin | $1,581,042 | $204.03 |
| Lytle Eap Partners | None | $283,423 | $36.58 |
| Gridiron Partners | None | $263,697 | $34.03 |
| The Segal Co. | None | $218,219 | $28.16 |
| Stephen J. Obrien, Esq | None | $185,341 | $23.92 |
| C.S. Mckee | None | $107,654 | $13.89 |
| Henry Rossi & Co., LLP | None | $78,855 | $10.18 |
| Pnc Advisors | Custodian | $77,062 | $9.94 |
| London Company | None | $72,915 | $9.41 |
| Corry Capital - Longevity Fund Vi | None | $58,213 | $7.51 |
| Pfm Asset Management LLC | None | $55,902 | $7.21 |
| Highmark Signature 65 | None | $54,160 | $6.99 |
| Prudential | None | $42,857 | $5.53 |
| Nva | None | $39,304 | $5.07 |
| The Northern Trust Company | None | $36,513 | $4.71 |
| Cancer Study Group | None | $30,600 | $3.95 |
| Pnc Advisors | Treasury Management | $29,541 | $3.81 |
| Lem Multifamily Partnership | None | $24,638 | $3.18 |
| The Wagner Law Group | None | $5,616 | $0.72 |
| Brown Brothers | None | Comp not disclosed | — |
| Segal Select Insurance Services Inc | Consultant | Comp not disclosed | — |