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Employer
3435 Lamor Road, Hermitage, PA 16148 · EIN 25-1153491 · 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 $744,978
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Symetra Life Insurance Company | Frissora & Associates, LLC | 1129 | $70,718 3.8% of $1,840,205 |
| Medical | Meritain Health, Inc. | Fringe Benefit Services | 1131 | $550,292 |
| Dental | Delta Dental Of Arizona | Fringe Benefit Services | 286 | $25,916 |
| Life | The Lincoln National Life Insurance Company | Fringe Benefit Services | 519 | $20,232 15.0% of $134,876 |
| Life | The Lincoln National Life Insurance Company | Emerson Rogers LLC | 519 | $11,672 8.7% of $134,876 |
| Life | The Lincoln National Life Insurance Company | Emerson Rogers LLC | 1097 | $8,865 8.6% of $102,756 |
| Life | The Lincoln National Life Insurance Company | Fringe Benefit Services | 1097 | $2,501 2.4% of $102,756 |
| Life | The Lincoln National Life Insurance Company | Fringe Benefit Services | 312 | $1,897 15.0% of $12,646 |
| Life | The Lincoln National Life Insurance Company | Emerson Rogers LLC | 312 | $1,143 9.0% of $12,646 |
| Other | The Lincoln National Life Insurance Company | Emerson Rogers LLC | 1095 | $14,395 8.6% of $166,546 |
| Other | The Lincoln National Life Insurance Company | Fringe Benefit Services | 1095 | $6,827 4.1% of $166,546 |
| Other | The Lincoln National Life Insurance Company | Fringe Benefit Services | 324 | $19,285 15.0% of $128,568 |
| Other | The Lincoln National Life Insurance Company | Emerson Rogers LLC | 324 | $11,235 8.7% of $128,568 |
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.
Visible subtotal $568,010
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Meritain Health | None | $550,292 | $486.55 |
| Delta Dental | None | $17,718 | $15.67 |