Employer
Southwestern Pennsylvania Human Services, Inc.
300 Chamber Plaza, Charleroi, PA 15022 · EIN 25-1492288 · 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 $24,198
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Dental | United Concordia Companies, Inc. | First National Insurance Agency | 812 | $12,145 5.0% of $244,811 |
| Vision | Vision Benefits Of America | — | 377 | Schedule A not provided |
| Life | Hartford Life And Accident | First National Insurance Agency | 382 | $9,493 9.1% of $104,155 |
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 $746,677
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Upmc Health Plan | Admin | $746,677 | $919.55 |