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Employer
600 Clubhouse Drive, Moon Township, PA 15108 · EIN 26-1671848 · Jan 1, 2024 to Dec 31, 2024
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 $107,382
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | HM Life Insurance Company | The Coury Firm LLC | 653 | $54,210 10.0% of $542,104 |
| Dental | United Concordia Insurance Company | Coury Financial Group, Lp | 1449 | $26,300 8.5% of $310,767 |
| Vision | Highmark Inc. | The Coury Firm LLC | 1949 | $3,308 4.4% of $74,632 |
| Life | Reliance Standard Life Insurance Company | The Coury Firm LLC | 564 | $3,162 5.2% of $61,234 |
| AD&D | Reliance Standard Life Insurance Company | The Coury Firm LLC | 692 | $972 15.0% of $6,483 |
| Other | Reliance Standard Life Insurance Company | The Coury Firm LLC | 507 | $3,802 6.3% of $60,176 |
| Accident | Reliance Standard Life Insurance Company | The Coury Firm LLC | 61 | $2,305 20.0% of $11,526 |
| Critical Illness | Reliance Standard Life Insurance Company | The Coury Firm LLC | 164 | $3,284 20.0% of $16,422 |
| Hospital Indemnity | Reliance Standard Life Insurance Company | The Coury Firm LLC | 66 | $3,222 20.0% of $16,110 |
| Other | Reliance Standard Life Insurance Company | The Coury Firm LLC | 292 | $6,817 20.0% of $34,085 |
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.