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Employer
100 Industry Drive, Pittsburgh, PA 15275 · EIN 13-2695427 · Jan 1, 2023 to Dec 31, 2023
Plan year 2023
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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 $44,310
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Dental | United Concordia Companies, Inc. | Willis Towers Watson Northeast, Inc | 464 | $14,866 7.8% of $191,554 |
| Vision | Eyemed Vision Care On Behalf Of Fidelity Security Life Insurance Co. | Willis Towers Watson Northeast, Inc | 344 | $1,702 7.0% of $24,455 |
| Life | United Of Omaha Life Insurance Company | Willis Towers Watson Northeast, Inc | 376 | $4,589 6.1% of $74,933 |
| Life | United Of Omaha Life Insurance Company | Willis Towers Watson Northeast, Inc | 113 | $7,624 15.0% of $50,830 |
| Other | United Of Omaha Life Insurance Company | Willis Towers Watson Northeast, Inc | 361 | $4,539 7.3% of $61,884 |
| Critical Illness | United Of Omaha Life Insurance Company | Benefit Educations LLC | 79 | $4,766 24.0% of $19,860 |
| Critical Illness | United Of Omaha Life Insurance Company | Willis Towers Watson Northeast, Inc | 79 | $199 1.0% of $19,860 |
| Accident | United Of Omaha Life Insurance Company | Benefit Educations LLC | 77 | $3,311 24.0% of $13,795 |
| Accident | United Of Omaha Life Insurance Company | Willis Towers Watson Northeast, Inc | 77 | $138 1.0% of $13,795 |
| Other | United Of Omaha Life Insurance Company | Willis Towers Watson Northeast, Inc | 296 | $2,576 5.0% of $51,521 |
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.