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Employer
84 Iron Street, Johnstown, PA 15907 · EIN 25-1618979 · Jul 1, 2024 to Jun 30, 2025
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 $90,598
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Highmark, Inc | Cindy L Nimitz | 575 | $68,750 1.9% of $3,585,787 |
| Vision | United Healthcare Insurance Company | Gallagher Fiduciary Advisors, LLC | 639 | $419 1.7% of $25,387 |
| Life | Dearborn Life Insurance Company | Anderson & Kime Employee Benefits | 323 | $6,744 2.0% of $341,173 |
| Life | Dearborn Life Insurance Company | Kesslak Financial Group Inc | 323 | $13,313 3.9% of $341,173 |
| Other | Aflac- Group Hww61 | Joy G Padgelek | 15 | $1 0.0% of $12,385 |
| Other | Aflac- Group Hww61 | Brian W Patten | 15 | $1 0.0% of $12,385 |
| Other | Aflac- Group Hww61 | Brian Strenko | 15 | $14 0.1% of $12,385 |
| Other | Aflac- Group Hww61 | Jennifer R Wagner | 15 | $26 0.2% of $12,385 |
| Other | Aflac- Group Hww61 | Krysta L Cornelison | 15 | $27 0.2% of $12,385 |
| Other | Aflac- Group Hww61 | Maria J Bennetti | 15 | $40 0.3% of $12,385 |
| Other | Aflac- Group Hww61 | Ruth E Curry | 15 | $59 0.5% of $12,385 |
| Other | Aflac- Group Hww61 | Melissa E Graves | 15 | $90 0.7% of $12,385 |
| Other | Aflac- Group Hww61 | John E Hrivnak | 15 | $91 0.7% of $12,385 |
| Other | Aflac- Group Hww61 | Michael H Fleming | 15 | $110 0.9% of $12,385 |
| Other | Aflac- Group Hww61 | Daniel Hayden | 15 | $163 1.3% of $12,385 |
| Other | Aflac- Group Hww61 | James G Brandt | 15 | $170 1.4% of $12,385 |
| Other | Aflac- Group Hww61 | Suzanne M Coccagna | 15 | $398 3.2% of $12,385 |
| Accident & Cancer | Colonial Life & Accident Insurance Company | Bryer Insurance Services Inc | 9 | $58 2.8% of $2,109 |
| Accident & Cancer | Colonial Life & Accident Insurance Company | Anderson & Kime Employee Benefits | 9 | $46 2.2% of $2,109 |
| Accident & Cancer | Colonial Life & Accident Insurance Company | Kesslak Financial Group Inc | 9 | $24 1.1% of $2,109 |
| Accident & Cancer | Colonial Life & Accident Insurance Company | Tammy A Morgart | 9 | $44 2.1% of $2,109 |
| Accident & Cancer | Colonial Life & Accident Insurance Company | Sara M Bryer | 9 | $10 0.5% of $2,109 |
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.