Employer
Private Industry Council Of Westmoreland Fayette, Inc.
219 Donohoe Rd, Greensburg, PA 15601 · EIN 25-1453441 · Jan 1, 2025 to Dec 31, 2025
Plan year 2025
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Schedule A
Direct compensation
Coverage contracts on the filing. If the carrier did not provide Schedule A, the row is listed with that note.
Visible subtotal $82,632
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Upmc Health Options | C B Tracy & Associates DBA Tracyco | 235 | $70,500 3.8% of $1,869,039 |
| Vision | Vision Benefits Of America | C B Tracy & Associates DBA Tracyco | 278 | $683 1.6% of $43,434 |
| Life | Sun Life Assurance Company Of Canada | C B Tracy & Associates DBA Tracyco | 286 | $11,449 8.6% of $133,314 |
Schedule C
Additional compensation
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 $6,842
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| C B Tracy & Associates, Inc. | Contract Administrator | $6,842 | $22.43 |
| Upmc Benefit Management | Claims Processing | Comp not disclosed | — |