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Employer
1500 Ardmore Blvd, Suite 410, Pittsburgh, PA 15221 · EIN 25-1840371 · 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 $34,574
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Sun Life Assurance Company Of America | Trustmark Health Benefits, Inc. | 211 | $8,158 1.9% of $425,769 |
| Stop-loss | Sun Life Assurance Company Of America | Trustmark Health Benefits, Inc. | 211 | $1,697 0.4% of $425,769 |
| Dental | United Concordia Insurance Company | Henderson Brothers Inc. | 385 | $12,090 11.9% of $101,926 |
| Vision | Highmark, Inc. | Henderson Brothers Inc. | 339 | $532 2.7% of $19,888 |
| Life | Reliance Standard Life Insurance Company | Henderson Brothers Inc. | 378 | $4,375 7.7% of $56,453 |
| AD&D | Reliance Standard Life Insurance Company | Henderson Brothers Inc. | 161 | $989 17.2% of $5,764 |
| Other | Reliance Standard Life Insurance Company | Henderson Brothers Inc. | 357 | $2,887 16.5% of $17,460 |
| Critical Illness | Reliance Standard Life Insurance Company | Henderson Brothers Inc. | 109 | $1,559 11.9% of $13,114 |
| Accident | Reliance Standard Life Insurance Company | Henderson Brothers Inc. | 52 | $1,513 12.0% of $12,654 |
| Hospital Indemnity | Reliance Standard Life Insurance Company | Henderson Brothers Inc. | 46 | $774 10.0% of $7,736 |
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.