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Employer
2790 Mosside Boulevard, Monroeville, PA 15146 · EIN 26-2573999 · Nov 1, 2024 to Oct 31, 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 $198,789
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Highmark Inc. | Willis Towers Watson Northeast, Inc | 273 | $103,292 3.3% of $3,174,690 |
| Dental | The Lincoln National Life Insurance Company | Gis Benefits Inc | 206 | $9,159 6.1% of $149,312 |
| Dental | The Lincoln National Life Insurance Company | Willis Towers Watson Northeast, Inc | 206 | $7,466 5.0% of $149,312 |
| Dental | The Lincoln National Life Insurance Company | Willis Towers Watson | 206 | $4,750 3.2% of $149,312 |
| Vision | The Lincoln National Life Insurance Company | Gis Benefits Inc | 193 | $1,609 6.1% of $26,201 |
| Vision | The Lincoln National Life Insurance Company | Willis Towers Watson Northeast, Inc | 193 | $1,310 5.0% of $26,201 |
| Vision | The Lincoln National Life Insurance Company | Willis Towers Watson | 193 | $420 1.6% of $26,201 |
| Life | Lincoln National Life Insurance Company | Willis Towers Watson Northeast, Inc | 238 | $16,643 11.4% of $146,200 |
| Life | Lincoln National Life Insurance Company | Gis Benefits Inc | 238 | $9,970 6.8% of $146,200 |
| Life | Lincoln National Life Insurance Company | Willis Towers Watson | 238 | $2,999 2.1% of $146,200 |
| Critical Illness | The Lincoln National Life Insurance Company | Willis Towers Watson Northeast, Inc | 44 | $5,507 20.0% of $27,534 |
| Critical Illness | The Lincoln National Life Insurance Company | Gis Benefits Inc | 44 | $1,757 6.4% of $27,534 |
| Critical Illness | The Lincoln National Life Insurance Company | Willis Towers Watson | 44 | $686 2.5% of $27,534 |
| Hospital Indemnity | The Lincoln National Life Insurance Company | Willis Towers Watson Northeast, Inc | 56 | $3,487 20.0% of $17,436 |
| Hospital Indemnity | The Lincoln National Life Insurance Company | Gis Benefits Inc | 56 | $1,153 6.6% of $17,436 |
| Hospital Indemnity | The Lincoln National Life Insurance Company | Willis Towers Watson | 56 | $479 2.7% of $17,436 |
| Other | Lincoln National Life Insurance Company | Willis Towers Watson Northeast, Inc | 238 | $6,235 10.0% of $62,354 |
| Other | Lincoln National Life Insurance Company | Gis Benefits Inc | 238 | $4,289 6.9% of $62,354 |
| Other | Lincoln National Life Insurance Company | Willis Towers Watson | 238 | $1,298 2.1% of $62,354 |
| Other | Lincoln National Life Insurance Company | Willis Towers Watson Northeast, Inc | 238 | $8,587 10.0% of $85,868 |
| Other | Lincoln National Life Insurance Company | Gis Benefits Inc | 238 | $5,906 6.9% of $85,868 |
| Other | Lincoln National Life Insurance Company | Willis Towers Watson | 238 | $1,787 2.1% of $85,868 |
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.