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Employer
650 Washington Rd., Pittsburgh, PA 15228 · EIN 65-0083589 · 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 $100,176
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Bluecross Blueshield Of Texas | Lockton Companies, LLC | 1000 | $18,837 2.8% of $683,027 |
| Vision | Fidelity Security Life Insurance Company | — | 983 | Comp not disclosed Premium $79,885 |
| Life | Reliance Standard Life Insurance Company | Lockton Dunning Dallas | 696 | $16,183 7.0% of $232,358 |
| Life | Reliance Standard Life Insurance Company | Henderson Brothers Inc. | 696 | $9,818 4.2% of $232,358 |
| Life | Reliance Standard Life Insurance Company | Lockton Specialties, LLC | 696 | $6,709 2.9% of $232,358 |
| AD&D | Reliance Standard Life Insurance Company | Lockton Dunning Dallas | 240 | $958 7.1% of $13,548 |
| AD&D | Reliance Standard Life Insurance Company | Henderson Brothers Inc. | 240 | $569 4.2% of $13,548 |
| AD&D | Reliance Standard Life Insurance Company | Lockton Specialties, LLC | 240 | $393 2.9% of $13,548 |
| Accident, Critical Illness, Hospital Indemnity | Reliastar Life Insurance Company | Henderson Brothers Inc. | 318 | $9,232 9.8% of $94,646 |
| Accident, Critical Illness, Hospital Indemnity | Reliastar Life Insurance Company | Lockton Companies, LLC | 318 | $6,446 6.8% of $94,646 |
| Other | Reliance Standard Life Insurance Company | Lockton Dunning Dallas | 696 | $15,925 8.3% of $191,487 |
| Other | Reliance Standard Life Insurance Company | Henderson Brothers Inc. | 696 | $9,483 5.0% of $191,487 |
| Other | Reliance Standard Life Insurance Company | Lockton Specialties, LLC | 696 | $5,623 2.9% of $191,487 |
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.