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Employer
407 Locust Street, Mckees Rock, PA 15136 · EIN 25-1847425 · Oct 1, 2024 to Sep 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 $133,875
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Blue Cross And Blue Shield Of North Carolina | Laurie Winston | 62 | $10,272 2.1% of $494,124 |
| Medical | Blue Cross And Blue Shield Of North Carolina | — | 64 | Comp not disclosed Premium $132,802 |
| Medical | Blue Cross Blue Shield Of Florida | Whipple & Company, An Alera | 179 | $76,729 3.0% of $2,557,623 |
| Medical | Florida Combined Life | Whipple & Company, An Alera | 182 | $3,931 3.0% of $129,753 |
| Medical | Highmark Inc. | American Insurance Administrators | 61 | $12,787 2.3% of $556,017 |
| Medical | Unitedhealthcare Insurance Company | Pentra, LLC | 804 | $8,185 0.7% of $1,184,301 |
| Medical | Unitedhealthcare Insurance Company | Pentra, LLC | 251 | $11,217 15.0% of $74,777 |
| Vision | Bluecross Blueshield Of Florida, Inc. | Whipple & Company, An | 151 | $178 0.7% of $27,241 |
| Life | Hartford Life And Accident | Pentra, LLC | 505 | $6,333 2.0% of $309,671 |
| Life | Hartford Life And Accident | American Insurance Administrators | 505 | $3,785 1.2% of $309,671 |
| AD&D | Federal Insurance Company | Willis Towers Watson Northeast, Inc | 400 | $458 25.0% of $1,832 |
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.