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Employer
500 Pleasant Valley Road, Trafford, PA 15085 · EIN 25-1057462 · Apr 1, 2025 to Mar 31, 2026
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 $17,183
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Vision | The Guardian Life Insurance Company Of America | — | 104 | Schedule A not provided |
| Vision | The Guardian Life Insurance Company Of America | — | 104 | Schedule A not provided |
| Vision | The Guardian Life Insurance Company Of America | — | 104 | Schedule A not provided |
| Life | Colonial Life And Accident Insurance Company | — | 5 | Schedule A not provided |
| Life | Colonial Life And Accident Insurance Company | — | 5 | Schedule A not provided |
| Life | Colonial Life And Accident Insurance Company | — | 5 | Schedule A not provided |
| Life | Colonial Life And Accident Insurance Company | — | 5 | Schedule A not provided |
| Life | Colonial Life And Accident Insurance Company | — | 5 | Schedule A not provided |
| Life | Colonial Life And Accident Insurance Company | — | 5 | Schedule A not provided |
| Life | Colonial Life And Accident Insurance Company | — | 5 | Schedule A not provided |
| Cancer | Manhattanlife Assurance Company Of America | — | 1 | Comp not disclosed Premium $386 |
| Employee Assistance Program | Gateway Rehabilitation Center DBA Productivity Partners | — | 119 | Comp not disclosed Premium $2,699 |
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.