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Employer
1400 Lebanon Church Road, West Mifflin, PA 15236 · EIN 47-2662918 · Mar 1, 2024 to Feb 28, 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 $113,743
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | United Healthcare Insurance Company | Henderson Brothers Inc. | 246 | $11,382 0.8% of $1,504,437 |
| Medical | United Healthcare Insurance Company | Marsh & Mclennan Agency, LLC East | 246 | $42,594 2.8% of $1,504,437 |
| Medical | United Healthcare Insurance Company | Henderson Brothers Inc. | 67 | $3,659 0.8% of $431,796 |
| Medical | United Healthcare Insurance Company | Marsh & Mclennan Agency, LLC East | 67 | $11,968 2.8% of $431,796 |
| Dental | Metropolitan Life Insurance Company | Gis Benefits Inc | 460 | $4,807 5.5% of $86,693 |
| Dental | Metropolitan Life Insurance Company | Henderson Brothers Inc. | 460 | $3,316 3.8% of $86,693 |
| Dental | Metropolitan Life Insurance Company | Marsh & Mclennan Agency, LLC East | 460 | $7,040 8.1% of $86,693 |
| Dental | Metropolitan Life Insurance Company | Marsh & Mclennan Agency, LLC East | 460 | $477 0.6% of $86,693 |
| Dental | Metropolitan Life Insurance Company | Marsh & Mclennan Agency, LLC East | 460 | $4 0.0% of $86,693 |
| Dental | United Concordia Insurance Company | Henderson Brothers Inc. | 378 | $1,129 1.1% of $98,571 |
| Dental | United Concordia Insurance Company | Marsh & Mclennan Agency, LLC East | 378 | $8,190 8.3% of $98,571 |
| Vision | Eyemed | Henderson Brothers Inc. | 332 | $527 2.5% of $21,011 |
| Accident | Metropolitan Life Insurance Company | Mark Mettille | 230 | $3,360 55.6% of $6,048 |
| Accident | Metropolitan Life Insurance Company | Gis Benefits Inc | 230 | $296 4.9% of $6,048 |
| Accident | Metropolitan Life Insurance Company | Henderson Brothers Inc. | 230 | $288 4.8% of $6,048 |
| Accident | Metropolitan Life Insurance Company | Marsh & Mclennan Agency, LLC East | 230 | $1,041 17.2% of $6,048 |
| Accident | Metropolitan Life Insurance Company | Marsh & Mclennan Agency, LLC East | 230 | $29 0.5% of $6,048 |
| Critical Illness | Metropolitan Life Insurance Company | Mark Mettille | 207 | $6,967 38.7% of $18,002 |
| Critical Illness | Metropolitan Life Insurance Company | Henderson Brothers Inc. | 207 | $387 2.1% of $18,002 |
| Critical Illness | Metropolitan Life Insurance Company | Marsh & Mclennan Agency, LLC East | 207 | $2,293 12.7% of $18,002 |
| Critical Illness | Metropolitan Life Insurance Company | Marsh & Mclennan Agency, LLC East | 207 | $50 0.3% of $18,002 |
| Critical Illness | Metropolitan Life Insurance Company | Marsh & Mclennan Agency, LLC East | 207 | $2 0.0% of $18,002 |
| Hospital Indemnity | Metropolitan Life Insurance Company | Mark Mettille | 79 | $2,826 37.2% of $7,599 |
| Hospital Indemnity | Metropolitan Life Insurance Company | Henderson Brothers Inc. | 79 | $212 2.8% of $7,599 |
| Hospital Indemnity | Metropolitan Life Insurance Company | Marsh & Mclennan Agency, LLC East | 79 | $876 11.5% of $7,599 |
| Hospital Indemnity | Metropolitan Life Insurance Company | Marsh & Mclennan Agency, LLC East | 79 | $23 0.3% of $7,599 |
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.