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Employer
200 Speers Street, Belle Vernon, PA 15012 · EIN 25-0956510 · 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 $35,045
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Dental | Delta Dental Of Pennsylvania | Henderson Brothers Inc. | 379 | $3,291 2.7% of $124,013 |
| Dental | Delta Dental Of Pennsylvania | Marsh & Mclennan Agency, LLC East | 379 | $2,905 2.3% of $124,013 |
| Vision | Vision Benefits Of America | Henderson Brothers Inc. | 169 | $876 3.0% of $29,668 |
| Vision | Vision Benefits Of America | Marsh & Mclennan Companies, Inc. | 169 | $412 1.4% of $29,668 |
| Life | Life Insurance Company Of North America | Henderson Brothers Inc. | 310 | $7,480 8.3% of $89,774 |
| Life | Life Insurance Company Of North America | Marsh & Mclennan Agency, LLC East | 310 | $6,550 7.3% of $89,774 |
| Life | Life Insurance Company Of North America | Watch Tower Technologies Inc | 310 | $1,347 1.5% of $89,774 |
| AD&D | Life Insurance Company Of North America | Henderson Brothers Inc. | 310 | $739 8.5% of $8,651 |
| AD&D | Life Insurance Company Of North America | Marsh & Mclennan Agency, LLC East | 310 | $612 7.1% of $8,651 |
| AD&D | Life Insurance Company Of North America | Watch Tower Technologies Inc | 310 | $130 1.5% of $8,651 |
| Other | Life Insurance Company Of North America | Henderson Brothers Inc. | 226 | $5,299 8.5% of $62,538 |
| Other | Life Insurance Company Of North America | Marsh & Mclennan Agency, LLC East | 226 | $4,466 7.1% of $62,538 |
| Other | Life Insurance Company Of North America | Watch Tower Technologies Inc | 226 | $938 1.5% of $62,538 |
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.