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Employer
201 Wood Street, Pittsburgh, PA 15222 · EIN 25-1094922 · 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 $192,624
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Highmark Inc. | — | 130 | Comp not disclosed Premium $1,209,158 |
| Medical | Upmc Health Options | Henderson Brothers Inc. | 523 | $129,074 3.2% of $4,083,348 |
| Dental | United Concordia Dental Plans Of Pennsylvania, Inc. | Henderson Brothers Inc. | 137 | $1,349 4.1% of $33,012 |
| Dental | United Concordia Insurance Company | Henderson Brothers Inc. | 490 | $7,353 4.2% of $174,299 |
| Vision | Highmark Inc. | Henderson Brothers Inc. | 649 | $1,611 3.0% of $53,345 |
| Life | Reliance Standard Life Insurance Company | Lillis Mckibben Bongiovanni & Co (L | 448 | $25,582 15.0% of $170,544 |
| Life | Reliance Standard Life Insurance Company | Professional Group Plans Inc | 448 | $8,527 5.0% of $170,544 |
| Critical Illness | Reliastar Life Insurance Company | Henderson Brothers Inc. | 207 | $18,619 27.4% of $67,857 |
| Critical Illness | Reliastar Life Insurance Company | T2b Solutions Inc. | 207 | $509 0.8% of $67,857 |
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.