Loading employer…
Employer
5340 Frying Road, Suite 300, Erie, PA 16510 · EIN 27-4034515 · Jan 1, 2025 to Dec 31, 2025
Plan year 2025
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 $128,528
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Dental | Delta Dental Of Michigan | Gallagher Fiduciary Advisors, LLC | 3446 | $16,474 1.8% of $895,061 |
| Vision | Vision Service Plan | Gallagher Fiduciary Advisors, LLC | 1630 | $5,146 1.6% of $331,268 |
| Life | First Unum Life Insurance Company | Gallagher Fiduciary Advisors, LLC | 1263 | $23,148 8.7% of $264,943 |
| Life | First Unum Life Insurance Company | Gallagher Fiduciary Advisors, LLC | 1263 | $5,301 2.0% of $264,943 |
| Life | Unum Life Insurance Company Of America | Gallagher Fiduciary Advisors, LLC | 383 | $24,529 15.0% of $163,525 |
| Life | Unum Life Insurance Company Of America | Gallagher Fiduciary Advisors, LLC | 383 | $3,271 2.0% of $163,525 |
| Employee Assistance Program | Employee Services, Inc. | — | 66 | Comp not disclosed Premium $13,915 |
| Business Travel Accident | Zurich American Insurance Company | — | 1263 | Schedule A not provided |
| Legal | Pre-Paid Legal Services Inc DBA Legalshield | Gallagher Fiduciary Advisors, LLC | 96 | $3,177 17.0% of $18,686 |
| Hospital, Critical Illness, Accident | Unum Insurance Company | Gallagher Fiduciary Advisors, LLC | 351 | $39,850 14.7% of $271,211 |
| Hospital, Critical Illness, Accident | Unum Insurance Company | Gallagher Fiduciary Advisors, LLC | 351 | $6,760 2.5% of $271,211 |
| Hospital, Critical Illness, Accident | Unum Insurance Company | Marsh & Mclennan Agency, LLC East | 351 | $803 0.3% of $271,211 |
| Hospital, Critical Illness, Accident | Unum Insurance Company | Marsh & Mclennan Agency, LLC East | 351 | $69 0.0% of $271,211 |
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.