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Employer
600 Mayer Street, Bridgeville, PA 15017 · EIN 25-1724540 · Jan 1, 2025 to Dec 31, 2025
Plan year 2025
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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 $238,961
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Highmark Inc. | Scott Bishop | 299 | $82,537 1.8% of $4,558,300 |
| Dental | Delta Dental Of Pennsylvania | Assured Partners | 432 | $6,294 4.0% of $157,346 |
| Vision | Metropolitan Life Insurance Company | — | 441 | Comp not disclosed Premium $40,517 |
| Life | Symetra Life Insurance Company | Assured Partners | 699 | $69,887 10.8% of $648,722 |
| Life | Symetra Life Insurance Company | Professional Group Plans Inc. | 699 | $34,887 5.4% of $648,722 |
| Other | Symetra Life Insurance Company | Assuredpartners Of Pennsylvania | 200 | $11,660 13.8% of $84,394 |
| Other | Symetra Life Insurance Company | Professional Group Plans Inc. | 200 | $4,150 4.9% of $84,394 |
| Accident, Critical Illness | Reliastar Life Insurance Company | Assured Partners (Central Pa) | 206 | $29,546 30.3% of $97,385 |
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 $24,391
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Highmark Inc. | Administrative/Retail Fee | $24,391 | $32.56 |