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Employer
249 Fifth Avenue, Pittsburgh, PA 15222 · EIN 25-1435979 · 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 $892,577
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Kaiser Foundation Health Plan Of The Mis-Atlantic States, Inc. | — | 15 | Comp not disclosed Premium $52,890 |
| Medical | Highmark Inc. | — | 75 | Comp not disclosed Premium $301,263 |
| Medical | Aetna Health, Inc. | — | 81 | Comp not disclosed Premium $382,843 |
| Medical | Independence Blue Cross | — | 19 | Comp not disclosed Premium $97,219 |
| Dental | Aetna Life Insurance Co. | — | 10247 | Comp not disclosed Premium $2,452,467 |
| Life | Metropolitan Life Insurance Company | Willis Towers Watson Us LLC | 62907 | $192,510 1.5% of $12,863,378 |
| Life | Metropolitan Life Insurance Company | Willis Towers Watson Us LLC | 62907 | $64 0.0% of $12,863,378 |
| Life | Metropolitan Life Insurance Company | Willis Towers Watson Us LLC | 66216 | $158,552 1.7% of $9,529,591 |
| Life | Metropolitan Life Insurance Company | Willis Towers Watson Us LLC | 66216 | $87,570 0.9% of $9,529,591 |
| Medical | Aetna Health, Inc. | — | 81 | Comp not disclosed Premium $382,843 |
| Dental | Aetna Life Insurance Co. | — | 10247 | Comp not disclosed Premium $2,452,467 |
| Vision | Unitedhealth Insurance Company | — | 65603 | Comp not disclosed Premium $6,195,297 |
| Life | Metropolitan Life Insurance Company | Willis Towers Watson Us LLC | 66216 | $158,552 1.7% of $9,529,591 |
| Life | Metropolitan Life Insurance Company | Willis Towers Watson Us LLC | 66216 | $87,570 0.9% of $9,529,591 |
| Life | Metropolitan Life Insurance Company | Willis Towers Watson Us LLC | 62907 | $192,510 1.5% of $12,863,378 |
| Life | Metropolitan Life Insurance Company | Willis Towers Watson Us LLC | 62907 | $64 0.0% of $12,863,378 |
| AD&D | Metropolitan Life Insurance Company | Willis Towers Watson Us LLC | 44608 | $15,121 1.7% of $896,265 |
| AD&D | Metropolitan Life Insurance Company | Willis Towers Watson Us LLC | 44608 | $64 0.0% of $896,265 |
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 $3,837,039
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Extend Health, Inc | None | $474,161 | $7.16 |
| Alight Solutions LLC | None | $365,989 | $5.53 |
| Highmark | None | $338,309 | $5.11 |
| Blackrock | None | $231,335 | $3.49 |
| Baker Tilly Us, LLP | None | $45,000 | $0.68 |
| Aetna | None | $35,814 | $0.54 |
| Caremark | None | $11,786 | $0.18 |
| Cambridge | None | $8,750 | $0.13 |
| Lincoln Life Assurance Co Of Boston | None | $2,296,745 | $42.60 |
| Baker Tilly Us, LLP | None | $29,150 | $0.54 |