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Employer
1000 Mylan Blvd, Canonsburg, PA 15317 · EIN 25-1211621 · 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 $42,067
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Cigna Health And Life Insurance Company | Coury Financial Group Lp | 15 | $30,073 14.6% of $205,995 |
| Medical | Highmark Inc. | — | 19 | Comp not disclosed Premium $711,410 |
| Medical | Cigna Health And Life Insurance Company | Coury Financial Group Lp P | 1 | $10,090 10.0% of $100,900 |
| Medical | Reliance Standard Life Insurance Company | — | 1188 | Comp not disclosed Premium $110,657 |
| Medical | Reliance Standard Life Insurance Company | — | 1744 | Comp not disclosed Premium $536,743 |
| Medical | Reliance Standard Life Insurance Company | — | 742 | Comp not disclosed Premium $186,423 |
| Dental | Delta Dental Of Puerto Rico, Inc. | — | 1854 | Comp not disclosed Premium $541,327 |
| Vision | Eyemed Vision Care | — | 6634 | Comp not disclosed Premium $444,796 |
| Vision | Eyemed Vision Care | — | 482 | Comp not disclosed Premium $30,643 |
| Employee Assistance Program | Magellan Health Services Inc. | — | 4547 | Comp not disclosed Premium $84,574 |
| Other | First Reliance Standard Life Insurance Company | — | 67 | Comp not disclosed Premium $26,111 |
| Other | Reliance Standard Life Insurance Company | — | 75 | Comp not disclosed Premium $25,826 |
| Life | Reliance Standard Life Insurance Company | — | 3574 | Comp not disclosed Premium $522,255 |
| Life | Reliance Standard Life Insurance Company | — | 2274 | Comp not disclosed Premium $2,093,308 |
| Life | Delaware American Life Insurance Of America | Coury Financial Group Lp | 15 | $1,904 11.9% of $16,019 |
| Accidental Death & Dismemberment | Reliance Standard Life Insurance Company | — | 1406 | Comp not disclosed Premium $133,980 |
| Accidental Death & Dismemberment | Reliance Standard Life Insurance Company | — | 3574 | Comp not disclosed Premium $156,286 |
| Other | Reliance Standard Life Insurance Company | — | 3573 | Comp not disclosed Premium $1,362,172 |
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.