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Employer
415 Holiday Drive, Pittsburgh, PA 15220 · EIN 25-1324733 · 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 $136,631
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Symetra Life Insurance Company | Sbr Services LLC | 655 | $58,884 5.9% of $993,581 |
| Dental | Delta Dental Of Pennsylvania | Stalwart Insurance LLC | 702 | $14,510 3.5% of $419,614 |
| Dental | Delta Dental Of Pennsylvania | Lr Webber | 702 | $12,799 3.1% of $419,614 |
| Dental | Delta Dental Of Pennsylvania | Employer Options LLC | 702 | $2,098 0.5% of $419,614 |
| Vision | Fidelity Security Life Insurance Company | Leavitt Northeast | 610 | $5,013 8.0% of $62,297 |
| Life | Standard Insurance Company | Stalwart Insurance LLC | 885 | $5,437 1.6% of $339,898 |
| Life | Standard Insurance Company | L R Webber Assocts Inc | 885 | $957 0.3% of $339,898 |
| EAP | Compsych | — | 586 | Comp not disclosed Premium $11,040 |
| Indemnity | Standard Insurance Company | Gallagher Fiduciary Advisors, LLC | 252 | $25,681 16.2% of $158,704 |
| Indemnity | Standard Insurance Company | Stalwart Insurance LLC | 252 | $4,143 2.6% of $158,704 |
| Indemnity | Standard Insurance Company | L R Webber Assocts Inc | 252 | $1,216 0.8% of $158,704 |
| Other | Standard Insurance Company | Stalwart Insurance LLC | 347 | $5,196 3.2% of $163,705 |
| Other | Standard Insurance Company | L R Webber Assocts Inc | 347 | $697 0.4% of $163,705 |
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.