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Employer
1925 Route 51, Jefferson Hills, PA 15025 · EIN 25-1193626 · 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 $137,990
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Upmc Health Options | Henderson Brothers Inc. | 538 | $93,275 2.8% of $3,337,106 |
| Vision | Upmc Health Benefits | Henderson Brothers Inc. | 538 | $1,321 4.0% of $33,143 |
| Life | United Of Omaha Life Insurance Company | Henderson Brothers Inc. | 317 | $15,341 9.8% of $156,392 |
| Life | United Of Omaha Life Insurance Company | Watchtower Benefits, LLC | 317 | $2,346 1.5% of $156,392 |
| Life | United Of Omaha Life Insurance Company | Henderson Brothers Inc. | 92 | $6,086 14.4% of $42,184 |
| Life | United Of Omaha Life Insurance Company | Watchtower Benefits, LLC | 92 | $633 1.5% of $42,184 |
| Other | United Of Omaha Life Insurance Company | Henderson Brothers Inc. | 317 | $9,610 12.1% of $79,151 |
| Other | United Of Omaha Life Insurance Company | Watchtower Benefits, LLC | 317 | $1,187 1.5% of $79,151 |
| Other | United Of Omaha Life Insurance Company | Henderson Brothers Inc. | 166 | $7,367 13.4% of $54,960 |
| Other | United Of Omaha Life Insurance Company | Watchtower Benefits, LLC | 166 | $824 1.5% of $54,960 |
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.