Loading employer…
Employer
2445 W 34th Street, Erie, PA 16506 · EIN 25-0965486 · Jul 1, 2024 to Jun 30, 2025
Plan year 2024
View
Schedule A
Coverage contracts on the filing. If the carrier did not provide Schedule A, the row is listed with that note.
Visible subtotal $47,550
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Upmc Health Options | Lillis Mckibben Bongiovanni & Co (L | 272 | $39,740 2.7% of $1,468,252 |
| Medical | Upmc Health Options | Lillis Mckibben Bongiovanni & Co (L | — | $100 5.3% of $1,890 |
| Vision | Vision Benefits Of America | Lillis Mckibben Bongiovanni & Co (L | 165 | $444 2.9% of $15,240 |
| Life | Reliance Standard | Lillis Mckibben Bongiovanni & Co (L | 216 | $1,477 9.4% of $15,794 |
| Life | Reliance Standard | Professional Group Plans Inc | 216 | $790 5.0% of $15,794 |
| AD&D | Reliance Standard | Lillis Mckibben Bongiovanni & Co (L | 180 | $344 15.0% of $2,292 |
| AD&D | Reliance Standard | Professional Group Plans Inc | 180 | $115 5.0% of $2,292 |
| Other | Reliance Standard | Lillis Mckibben Bongiovanni & Co (L | 211 | $3,270 12.9% of $25,399 |
| Other | Reliance Standard | Professional Group Plans Inc | 211 | $1,270 5.0% of $25,399 |
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.