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Employer
One Quality Way, Aliquippa, PA 15001 · EIN 99-3707837 · 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 $21,035
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Dental | United Concordia Insurance Company | Coury Health Services, LLC | 130 | $4,983 11.8% of $42,061 |
| Vision | Eyemed | American Insurance Administrators | 81 | $493 9.2% of $5,330 |
| Life | United Of Omaha Life Insurance Company | National Benefit Center | 105 | $830 3.1% of $26,989 |
| Life | United Of Omaha Life Insurance Company | American Insurance Administrators | 105 | $1,349 5.0% of $26,989 |
| Life | United Of Omaha Life Insurance Company | Coury Health Services, LLC | 105 | $4,360 16.2% of $26,989 |
| Life | United Of Omaha Life Insurance Company | National Benefit Center | 19 | $243 3.1% of $7,764 |
| Life | United Of Omaha Life Insurance Company | American Insurance Administrators | 19 | $388 5.0% of $7,764 |
| Life | United Of Omaha Life Insurance Company | Coury Health Services, LLC | 19 | $1,262 16.3% of $7,764 |
| Other | United Of Omaha Life Insurance Company | National Benefit Center | 65 | $222 2.9% of $7,720 |
| Other | United Of Omaha Life Insurance Company | American Insurance Administrators | 65 | $386 5.0% of $7,720 |
| Other | United Of Omaha Life Insurance Company | Coury Health Services, LLC | 65 | $1,217 15.8% of $7,720 |
| Other | United Of Omaha Life Insurance Company | National Benefit Center | 47 | $491 2.6% of $19,050 |
| Other | United Of Omaha Life Insurance Company | American Insurance Administrators | 47 | $952 5.0% of $19,050 |
| Other | United Of Omaha Life Insurance Company | Coury Health Services, LLC | 47 | $2,888 15.2% of $19,050 |
| Accident, Hospital Indemnity, Critical Illness | Aflac | Coury Health Services, LLC | 1 | $17 3.8% of $446 |
| Accident, Hospital Indemnity, Critical Illness | Aflac | Khs Benefits LLC | 1 | $10 2.2% of $446 |
| Accident, Hospital Indemnity, Critical Illness | Aflac | Amy Beth Lieberman | 1 | $13 2.9% of $446 |
| Accident, Hospital Indemnity, Critical Illness | Aflac | Smith Benefits Consulting Group | 1 | $3 0.7% of $446 |
| Accident, Hospital Indemnity, Critical Illness | Aflac | Coury Health Services, LLC | 9 | $337 3.3% of $10,315 |
| Accident, Hospital Indemnity, Critical Illness | Aflac | Khs Benefits LLC | 9 | $248 2.4% of $10,315 |
| Accident, Hospital Indemnity, Critical Illness | Aflac | Elizabeth Ann Riffe | 9 | $110 1.1% of $10,315 |
| Accident, Hospital Indemnity, Critical Illness | Aflac | Ethan Robert Riffe | 9 | $87 0.8% of $10,315 |
| Accident, Hospital Indemnity, Critical Illness | Aflac | Jacqueline Cotton | 9 | $54 0.5% of $10,315 |
| Accident, Hospital Indemnity, Critical Illness | Aflac | Smith Benefits Consulting Group | 9 | $34 0.3% of $10,315 |
| Accident, Hospital Indemnity, Critical Illness | Aflac | Amy Beth Lieberman | 9 | $19 0.2% of $10,315 |
| Accident, Hospital Indemnity, Critical Illness | Aflac | Coury Health Services, LLC | 9 | $18 0.2% of $10,315 |
| Accident, Hospital Indemnity, Critical Illness | Aflac | Vanessa Marie Trombetta | 9 | $15 0.1% of $10,315 |
| Accident, Hospital Indemnity, Critical Illness | Aflac | Smith Benefits Consulting Group | 9 | $6 0.1% of $10,315 |
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.