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Employer
2797 Freedland Road, Hermitage, PA 16148 · EIN 25-1213333 · 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 $53,329
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Dental + Vision | Metropolitan Life Insurance Company | Gilbert Insurance Agency Inc | 390 | $6,647 5.3% of $125,718 |
| Dental + Vision | Metropolitan Life Insurance Company | Alera General Agency | 390 | $4,188 3.3% of $125,718 |
| Dental + Vision | Metropolitan Life Insurance Company | American Insurance Administrators | 390 | $2,110 1.7% of $125,718 |
| Life | United Of Omaha Life Insurance Company | Gilbert Insurance Agency Inc | 387 | $2,241 10.0% of $22,412 |
| Life | United Of Omaha Life Insurance Company | American Insurance Administrators | 387 | $1,121 5.0% of $22,412 |
| Life | The Paul Revere Life Insurance Company | Gilberts Insurance Agency, Inc | — | $82 7.8% of $1,054 |
| Life | The Paul Revere Life Insurance Company | Diana Gillespie | — | $58 5.5% of $1,054 |
| Life | The Paul Revere Life Insurance Company | Carol Jane Riley | — | $6 0.6% of $1,054 |
| Life | Colonial Life & Accident Insurance Company | Gilbert Insurance Agency Inc | 177 | $11,152 4.1% of $274,500 |
| Life | Colonial Life & Accident Insurance Company | Christopher L Moldas | 177 | $6,389 2.3% of $274,500 |
| Life | Colonial Life & Accident Insurance Company | Lee H Davis | 177 | $5,038 1.8% of $274,500 |
| Life | Colonial Life & Accident Insurance Company | Michael R Ackerman | 177 | $2,204 0.8% of $274,500 |
| Life | Colonial Life & Accident Insurance Company | Diana Gillespie | 177 | $2,178 0.8% of $274,500 |
| Life | Colonial Life & Accident Insurance Company | Gregory Paul Staudinger | 177 | $1,438 0.5% of $274,500 |
| Life | Colonial Life & Accident Insurance Company | Joseph Badger | 177 | $1,373 0.5% of $274,500 |
| Life | Colonial Life & Accident Insurance Company | Duncan Oliver Haines | 177 | $1,233 0.4% of $274,500 |
| Life | Colonial Life & Accident Insurance Company | Carol Jane Riley | 177 | $1,197 0.4% of $274,500 |
| Life | Colonial Life & Accident Insurance Company | James Allen Conner | 177 | $969 0.4% of $274,500 |
| Life | Colonial Life & Accident Insurance Company | Count On Wellness | 177 | $871 0.3% of $274,500 |
| Life | Colonial Life & Accident Insurance Company | Allison Gavala | 177 | $683 0.2% of $274,500 |
| Life | Colonial Life & Accident Insurance Company | Daneen Marie Purpura | 177 | $670 0.2% of $274,500 |
| Life | Colonial Life & Accident Insurance Company | Johnny James Cooper | 177 | $598 0.2% of $274,500 |
| Life | Colonial Life & Accident Insurance Company | Zackery Jacob Lyons | 177 | $335 0.1% of $274,500 |
| Life | Colonial Life & Accident Insurance Company | Barbara Baxter Dejohn | 177 | $138 0.1% of $274,500 |
| Life | Colonial Life & Accident Insurance Company | Keith Howard Lefevre | 177 | $112 0.0% of $274,500 |
| Life | Colonial Life & Accident Insurance Company | Tayshia Diana Smith | 177 | $99 0.0% of $274,500 |
| Life | Colonial Life & Accident Insurance Company | Ysenia A Hernandez | 177 | $46 0.0% of $274,500 |
| Life | Colonial Life & Accident Insurance Company | Gerald A Greenen | 177 | $37 0.0% of $274,500 |
| Life | Colonial Life & Accident Insurance Company | William David Brown | 177 | $32 0.0% of $274,500 |
| Life | Colonial Life & Accident Insurance Company | Grund Benefit Advisors LLC | 177 | $19 0.0% of $274,500 |
| Life | Colonial Life & Accident Insurance Company | Anthony Vestal | 177 | $17 0.0% of $274,500 |
| Life | Colonial Life & Accident Insurance Company | Howard J Horowitz | 177 | $13 0.0% of $274,500 |
| Life | Colonial Life & Accident Insurance Company | Timothy J Slater | 177 | $11 0.0% of $274,500 |
| Life | Colonial Life & Accident Insurance Company | Danielle Lee Swain | 177 | $11 0.0% of $274,500 |
| Life | Colonial Life & Accident Insurance Company | Megan Elizabeth Casto | 177 | $6 0.0% of $274,500 |
| Life | Colonial Life & Accident Insurance Company | Rich In Benefits Inc | 177 | $5 0.0% of $274,500 |
| Life | Colonial Life & Accident Insurance Company | Elaisius Bonner | 177 | $1 0.0% of $274,500 |
| Life | Colonial Life & Accident Insurance Company | Jantelle Lavonne Bonner | 177 | $1 0.0% of $274,500 |
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.