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Employer
1720 Metropolitan Street, Pittsburgh, PA 15233 · EIN 25-1800002 · 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 $61,024
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Upmc Health Options | Henderson Brothers Inc. | 257 | $40,909 2.7% of $1,536,066 |
| Dental | Metropolitan Life Insurance Company | Henderson Brothers Inc. | 371 | $2,972 4.0% of $74,159 |
| Dental | Metropolitan Life Insurance Company | Watchtower Benefits, LLC | 371 | $1,116 1.5% of $74,159 |
| Vision | Upmc Health Benefits | Henderson Brothers Inc. | 248 | $524 4.1% of $12,910 |
| Life | Reliance Standard Life Insurance Company | Henderson Brothers Inc. | 46 | $5,409 11.5% of $46,938 |
| Life | Reliance Standard Life Insurance Company | Watchtower Technologies | 46 | $704 1.5% of $46,938 |
| Life | Reliance Standard Life Insurance Company | Henderson Brothers Inc. | 144 | $1,667 11.0% of $15,179 |
| Life | Reliance Standard Life Insurance Company | Watchtower Technologies | 144 | $228 1.5% of $15,179 |
| AD&D | Reliance Standard Life Insurance Company | Henderson Brothers Inc. | 120 | $380 11.4% of $3,327 |
| AD&D | Reliance Standard Life Insurance Company | Watchtower Technologies | 120 | $50 1.5% of $3,327 |
| Other | Reliance Standard Life Insurance Company | Henderson Brothers Inc. | 144 | $3,319 10.2% of $32,506 |
| Other | Reliance Standard Life Insurance Company | Watchtower Technologies | 144 | $488 1.5% of $32,506 |
| Other | Reliance Standard Life Insurance Company | Henderson Brothers Inc. | 144 | $2,715 7.5% of $36,183 |
| Other | Reliance Standard Life Insurance Company | Watchtower Technologies | 144 | $543 1.5% of $36,183 |
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.