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Employer
60 Boulevard Of The Allies 5th Fl, Pittsburgh, PA 15222 · EIN 23-1317409 · Jan 1, 2024 to Dec 31, 2024
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 $725,746
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Highmark | Gallagher Fiduciary Advisors, LLC | 134756 | $37,002 0.0% of $431,924,388 |
| Medical | Highmark | Mercer (Us), Inc. | 134756 | $33,695 0.0% of $431,924,388 |
| Medical | Kaiser Foundation Health Plan Inc. | Gallagher Fiduciary Advisors, LLC | 842 | $28,493 0.4% of $7,085,321 |
| Medical | Kaiser Foundation Health Plan Inc | Gallagher Fiduciary Advisors, LLC | 40 | $6,580 1.3% of $489,423 |
| Medical | Kaiser Foundation Health Plan Inc | Gallagher Fiduciary Advisors, LLC | 21 | $2,915 1.5% of $188,682 |
| Dental | Delta Dental Of Pennsylvania | — | 248 | Comp not disclosed Premium $73,744 |
| Dental | Delta Dental Of Pennsylvania | — | 91 | Comp not disclosed Premium $28,656 |
| Dental | United Concordia Life & Health Insurance Company | Gallagher Fiduciary Advisors, LLC | 33831 | $456,210 4.4% of $10,288,229 |
| Vision | Metropolitan Life Insurance Company | — | 30405 | Comp not disclosed Premium $1,546,173 |
| Life | American United Insurance Company | Gallager Benefit Svsc Inc | 14800 | $160,851 8.0% of $2,010,644 |
| EAP | Anthem Blue Cross Life And Health Insurance Company | — | 17878 | Comp not disclosed Premium $199,188 |
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.
Visible subtotal $16,341,382
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Anthem Blue Cross Life And Health I | None | $7,826,837 | $58.08 |
| Highmark | None | $5,593,552 | $41.51 |
| Central Data Services, Inc | None | $1,602,262 | $11.89 |
| United Concordia Companies, Inc. | None | $461,538 | $3.42 |
| Diane Pickle | Employee | $141,236 | $1.05 |
| Withum | None | $110,018 | $0.82 |
| Margaret Bibb | Employee | $88,163 | $0.65 |
| Moriah Jamrom | Employee | $88,163 | $0.65 |
| Consolidated Graphic Communications | None | $78,480 | $0.58 |
| Gallagher Fiduciary Advisors LLC | None | $72,500 | $0.54 |
| Innovest Portfolio Solutions | None | $72,460 | $0.54 |
| Davis Vision | None | $61,994 | $0.46 |
| Richmond Capital Management | None | $52,701 | $0.39 |
| Bredhoff & Kaiser | None | $36,509 | $0.27 |
| Ameriserv Trust | None | $29,432 | $0.22 |
| American Products, Inc. | None | $19,178 | $0.14 |
| Docusign | None | $6,359 | $0.05 |