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Employer
546 Wendel Road, Irwin, PA 15642 · EIN 25-1780727 · 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 $54,176
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Upmc Health Options | Emerson Rogers LLC | 1 | $366 3.2% of $11,271 |
| Medical | Upmc Health Options | Emerson Rogers LLC | 100 | $29,220 3.0% of $975,675 |
| Medical | Upmc Health Options | Emerson Rogers LLC | 46 | $9,950 3.0% of $336,123 |
| Medical | Upmc Health Options | Emerson Rogers LLC | 30 | $7,230 3.0% of $239,958 |
| Medical | Upmc Health Options | Emerson Rogers LLC | 2 | $991 3.0% of $33,020 |
| Dental + Vision | Upmc Health Benefits | Emerson Rogers LLC | 51 | $205 3.0% of $6,861 |
| Dental + Vision | Upmc Health Benefits | Emerson Rogers LLC | — | Comp not disclosed Premium $13 |
| Dental + Vision | Upmc Health Benefits | Emerson Rogers LLC | 18 | $192 2.9% of $6,531 |
| Dental + Vision | Upmc Health Benefits | Emerson Rogers LLC | 50 | $182 3.0% of $6,046 |
| Dental + Vision | Upmc Health Benefits | Emerson Rogers LLC | 2 | $6 3.0% of $202 |
| Dental + Vision | Upmc Health Benefits | Emerson Rogers LLC | 78 | $861 3.0% of $28,425 |
| Dental + Vision | Upmc Health Benefits | Emerson Rogers LLC | 1 | $14 3.3% of $425 |
| Dental + Vision | Upmc Health Benefits | Emerson Rogers LLC | 15 | $102 3.0% of $3,390 |
| Dental + Vision | Upmc Health Benefits | Emerson Rogers LLC | 10 | $103 3.0% of $3,407 |
| Dental + Vision | Upmc Health Benefits | Emerson Rogers LLC | 2 | $9 2.4% of $373 |
| Other | Principal Life Insurance Company | Keystone Ins & Benefits Group LLC | 192 | $2,970 7.3% of $40,765 |
| Other | Principal Life Insurance Company | Keystone Insurers Group Inc | 192 | $1,775 4.4% of $40,765 |
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.