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Employer
580 Wendell Road, Ste 100, Irwin, PA 15642 · EIN 25-1272788 · 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 $48,886
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Dental | United Healthcare Insurance Company | — | 907 | Comp not disclosed Premium $267,887 |
| Vision | United Healthcare Insurance Company | — | 953 | Comp not disclosed Premium $71,302 |
| Life | United Of Omaha Life Insurance Company | American Insurance Administrators | 2939 | $7,433 7.6% of $97,503 |
| Life | United Of Omaha Life Insurance Company | American Insurance Administrators | 2939 | $5,188 5.3% of $97,503 |
| Life | United Of Omaha Life Insurance Company | American Insurance Administrators | 2939 | $1,062 1.1% of $97,503 |
| AD&D | United Of Omaha Life Insurance Company | American Insurance Administrators | 254 | $4,095 7.6% of $53,784 |
| AD&D | United Of Omaha Life Insurance Company | American Insurance Administrators | 254 | $4,084 7.6% of $53,784 |
| AD&D | United Of Omaha Life Insurance Company | American Insurance Administrators | 254 | $583 1.1% of $53,784 |
| Other | United Of Omaha Life Insurance Company | American Insurance Administrators | 63 | $2,943 13.4% of $21,926 |
| Other | United Of Omaha Life Insurance Company | American Insurance Administrators | 63 | $1,663 7.6% of $21,926 |
| Other | United Of Omaha Life Insurance Company | American Insurance Administrators | 63 | $238 1.1% of $21,926 |
| Critical Illness Voluntary | United Of Omaha Life Insurance Company | American Insurance Administrators | 150 | $3,479 15.0% of $23,190 |
| Critical Illness Voluntary | United Of Omaha Life Insurance Company | American Insurance Administrators | 150 | $1,759 7.6% of $23,190 |
| Critical Illness Voluntary | United Of Omaha Life Insurance Company | American Insurance Administrators | 150 | $251 1.1% of $23,190 |
| Accident Only Voluntary | United Of Omaha Life Insurance Company | American Insurance Administrators | 115 | $2,482 15.0% of $16,548 |
| Accident Only Voluntary | United Of Omaha Life Insurance Company | American Insurance Administrators | 115 | $1,288 7.8% of $16,548 |
| Accident Only Voluntary | United Of Omaha Life Insurance Company | American Insurance Administrators | 115 | $184 1.1% of $16,548 |
| Hospital Indemnity | United Of Omaha Life Insurance Company | American Insurance Administrators | 144 | $6,592 27.7% of $23,790 |
| Hospital Indemnity | United Of Omaha Life Insurance Company | American Insurance Administrators | 144 | $262 1.1% of $23,790 |
| Other | Colonial Life & Accident Insurance Company | Bryer Insurance Services Inc | 41 | $2,347 19.2% of $12,248 |
| Other | Colonial Life & Accident Insurance Company | Tammy A Morgart | 41 | $1,776 14.5% of $12,248 |
| Other | Colonial Life & Accident Insurance Company | Coury Health Services, LLC | 41 | $994 8.1% of $12,248 |
| Other | Colonial Life & Accident Insurance Company | Timothy Birdsong | 41 | $93 0.8% of $12,248 |
| Other | Colonial Life & Accident Insurance Company | Sara Marie Bryer | 41 | $90 0.7% of $12,248 |
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.