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Employer
1225 Warm Springs Ave, Huntingdon, PA 16652 · EIN 23-1352159 · Sep 1, 2020 to Aug 31, 2021
Plan year 2020
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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 $33,129
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Dental | Delta Dental Of Pennsylvania | Alliant Insurance Sercices Inc | 125 | $403 1.2% of $33,606 |
| Life | Reliance Standard Life Insurance Co | Gallagher Fiduciary Advisors, LLC | 291 | $4,827 15.0% of $32,182 |
| Other | Relaince Standard Life Insurance Co | Gallagher Fiduciary Advisors, LLC | 284 | $5,652 15.0% of $37,678 |
| Other | Relaince Standard Life Insurance Co | Gallagher Fiduciary Advisors, LLC | 36 | $3,164 20.0% of $15,824 |
| Accidental Death & Dismemberment | Relaince Standard Life Insurance Co | Gallagher Fiduciary Advisors, LLC | 116 | $320 15.0% of $2,132 |
| Dental | Delta Dental Of Pennsylvania | Alliant Insurance Services, Inc. | 127 | $842 1.2% of $70,148 |
| Life | Reliance Standard Life Insurance Co | Gallagher Fiduciary Advisors, LLC | 74 | $7,105 18.7% of $38,061 |
| Other | Reliance Standard Life Insurance Co | Gallagher Fiduciary Advisors, LLC | 282 | $6,868 18.6% of $36,910 |
| Accidental Death & Dismemberment | Reliance Standard Life Insurance Co | Gallagher Fiduciary Advisors, LLC | 111 | $385 18.6% of $2,072 |
| Other | Reliance Standard Life Insurance Co | Gallagher Fiduciary Advisors, LLC | 33 | $3,563 24.1% of $14,801 |
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.