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Employer
701 Technology Drive, Canonsburg, PA 15317 · EIN 25-1742085 · Jul 1, 2024 to Jun 30, 2025
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 $43,491
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Highmark Inc. | Ima Financial Group (Pittsburgh, Pa | 630 | $8,744 4.6% of $191,461 |
| Vision | Vision Service Plan | Ima Financial Group (Pittsburgh, Pa | 281 | $1,898 3.6% of $52,049 |
| Life | Reliance Standard Life Insurance Company | Ima Financial Group (Pittsburgh, Pa | 358 | $5,833 15.0% of $38,887 |
| Other | Reliance Standard Life Insurance Company | Ima Financial Group (Pittsburgh, Pa | 354 | $16,486 15.0% of $109,904 |
| Accidental Death & Dismemberment | Reliance Standard Life Insurance Company | Ima Financial Group (Pittsburgh, Pa | 72 | $90 15.1% of $597 |
| Voluntary | Reliance Standard Life Insurance Company | Ima Financial Group (Pittsburgh, Pa | 98 | $10,440 15.0% of $69,598 |
| Stop-loss | Avalon Insurance Company | — | 262 | Comp not disclosed Premium $828,065 |
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.
Visible subtotal $-32,444
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Ima Financial Group (Pittsburgh, Pa | Broker | $121,618 | $397.44 |
| The Benecon Group | Broker | $64,350 | $210.29 |
| Highmark West | Admin | $-218,412 | $-713.76 |