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Employer
443 West Pittsburgh Street, Greensburg, PA 15601 · EIN 92-1340805 · 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 $282,483
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | HM Life Insurance Company | — | 2434 | Comp not disclosed Premium $986,737 |
| Stop-loss | HM Life Insurance Company | — | 642 | Comp not disclosed Premium $269,491 |
| Stop-loss | HM Life Insurance Company | — | 457 | Comp not disclosed Premium $213,633 |
| Stop-loss | HM Life Insurance Company | — | 189 | Comp not disclosed Premium $72,605 |
| Dental + Vision | Humana Insurance Company | Henderson Brothers Inc. | 215 | $7,879 9.8% of $80,626 |
| Vision | Vision Benefits Of America | — | 990 | Comp not disclosed Premium $39,159 |
| Vision | Vision Benefits Of America | — | 2793 | Comp not disclosed Premium $338,843 |
| Vision | Vision Benefits Of America | — | 93 | Comp not disclosed Premium $6,495 |
| Vision | Vision Benefits Of America | — | 330 | Comp not disclosed Premium $49,552 |
| Life | Standard Insurance Company | — | 6275 | Comp not disclosed Premium $949,220 |
| Life | Trustmark Insurance Company | The Mcclain Group, LLC | 340 | $5,470 3.7% of $146,410 |
| Life | Trustmark Insurance Company | Henderson Brothers Inc. | 340 | $3,062 2.1% of $146,410 |
| Other | Standard Insurance Company | — | 5577 | Comp not disclosed Premium $955,696 |
| Other | Standard Insurance Company | — | 2789 | Comp not disclosed Premium $1,860,341 |
| Business Travel Accident | Hartford Fire Insurance Company | — | — | Comp not disclosed Premium $5,517 |
| Other | Colonial Life & Accident Insurance Company | Timothy Birdsong | 2 | $4 0.3% of $1,366 |
| Other | Colonial Life & Accident Insurance Company | Donna Troxell | 2 | $3 0.2% of $1,366 |
| Other | Colonial Life & Accident Insurance Company | The Mcclain Group, LLC | 2 | $119 8.7% of $1,366 |
| Other | Colonial Life & Accident Insurance Company | Henderson Brothers Inc. | 2 | $79 5.8% of $1,366 |
| Other | Colonial Life & Accident Insurance Company | The Mcclain Group, LLC | 1 | $127 13.2% of $964 |
| Other | Colonial Life & Accident Insurance Company | Henderson Brothers Inc. | 1 | $85 8.8% of $964 |
| Other | Colonial Life & Accident Insurance Company | Timothy Birdsong | 1 | $5 0.5% of $964 |
| Other | Colonial Life & Accident Insurance Company | Donna Troxell | 1 | $4 0.4% of $964 |
| Other | Colonial Life & Accident Insurance Company | The Mcclain Group, LLC | 127 | $5,546 6.5% of $84,911 |
| Other | Colonial Life & Accident Insurance Company | Henderson Brothers Inc. | 127 | $3,697 4.4% of $84,911 |
| Other | Colonial Life & Accident Insurance Company | Timothy Birdsong | 127 | $152 0.2% of $84,911 |
| Other | Colonial Life & Accident Insurance Company | Donna Troxell | 127 | $131 0.2% of $84,911 |
| Other | Colonial Life & Accident Insurance Company | The Mcclain Group LLC | 50 | $2,817 6.8% of $41,311 |
| Other | Colonial Life & Accident Insurance Company | Henderson Brothers Inc. | 50 | $1,827 4.4% of $41,311 |
| Other | Colonial Life & Accident Insurance Company | Robin Elliott | 50 | $299 0.7% of $41,311 |
| Other | Colonial Life & Accident Insurance Company | Timothy Birdsong | 50 | $82 0.2% of $41,311 |
| Other | Colonial Life & Accident Insurance Company | Donna Troxell | 50 | $71 0.2% of $41,311 |
| Prepaid Legal | Legalplans, Usa | Henderson Brothers Inc. | 273 | $9,198 22.5% of $40,881 |
| Prepaid Legal | Legalplans, Usa | The Mcclain Group, LLC | 273 | $3,066 7.5% of $40,881 |
| Accident, Critical Illness, Hospital Indemnity | Reliastar Life Insurance Company | Mcclain Group, LLC | 2143 | $139,539 14.7% of $951,145 |
| Accident, Critical Illness, Hospital Indemnity | Reliastar Life Insurance Company | Henderson Brothers Inc. | 2143 | $98,750 10.4% of $951,145 |
| Short Term Disability | Trustmark Insurance Company | The Mcclain Group, LLC | 10 | $306 3.2% of $9,626 |
| Short Term Disability | Trustmark Insurance Company | Henderson Brothers Inc. | 10 | $165 1.7% of $9,626 |
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.