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Employer
100 Airside Drive, Moon Township, PA 15108 · EIN 25-0927646 · 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 $198,845
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Reliastar Life Insurance Company | Henderson Brothers Inc. | 2908 | $48,311 3.9% of $1,226,248 |
| Medical | Kaiser Foundation Health Plan, Inc. | Ima Financial Group (Pittsburgh, Pa | 17 | $6,426 4.4% of $145,793 |
| Medical | Kaiser Foundation Health Plan, Inc. | Ima Financial Group (Pittsburgh, Pa | 146 | $56,336 5.0% of $1,129,213 |
| Vision | Metropolitan Life Insurance Company | Henderson Brothers Inc. | 5406 | $19 0.0% of $505,589 |
| Life | Unum Life Insurance Company Of America | Henderson Brothers Inc. | 8202 | $30,660 1.3% of $2,452,768 |
| Accident | Unum Insurance Company | Henderson Brothers Inc. | 519 | $24,211 22.6% of $107,340 |
| Critical Illness | Unum Insurance Company | Henderson Brothers Inc. | 434 | $13,612 11.3% of $120,335 |
| Hospital Indemnity | Unum Insurance Company | Henderson Brothers Inc. | 242 | $19,270 20.3% of $94,877 |
| Other | Unum Life Insurance Company Of America | — | 3 | Comp not disclosed Premium $1,290 |
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.