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Employer
Po Box 180, Schuylkill Haven, PA 17972 · EIN 23-2108333 · Nov 1, 2024 to Oct 31, 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 $66,203
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Unitedhealthcare Insurance Company | Pentra, LLC | 221 | $36,718 2.5% of $1,464,772 |
| Medical | Unitedhealthcare Insurance Company | Alera Group Mechanicsburg | 221 | $15,830 1.1% of $1,464,772 |
| Dental | Delta Dental Of Pennsylvania | Pentra LLC | 227 | $2,851 5.0% of $57,027 |
| Life | United Of Omaha Life Insurance Company | Alera Group Inc DBA Pentra LLC | 143 | $2,043 18.2% of $11,209 |
| Life | United Of Omaha Life Insurance Company | National Benefit Center | 143 | $310 2.8% of $11,209 |
| Life | United Of Omaha Life Insurance Company | Alera Group Inc DBA Pentra LLC | 41 | $2,925 18.4% of $15,868 |
| Life | United Of Omaha Life Insurance Company | National Benefit Center | 41 | $467 2.9% of $15,868 |
| AD&D | Zurich American Insurance Company | Pentra, LLC | 19 | $169 7.5% of $2,247 |
| Other | United Of Omaha Life Insurance Company | Alera Group Inc DBA Pentra LLC | 141 | $4,241 18.3% of $23,227 |
| Other | United Of Omaha Life Insurance Company | National Benefit Center | 141 | $649 2.8% of $23,227 |
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.