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Employer
60 Boulevard Of The Allies, 5th Fl., Pittsburgh, PA 15222 · EIN 27-1404121 · 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.
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Sierra Health And Life Insurance Company Inc. | — | 139 | Comp not disclosed Premium $368,599 |
| Medical | Sierra Health And Life Insurance Company Inc. | — | 5102 | Comp not disclosed Premium $5,957,337 |
| Medical | Sierra Health And Life Insurance Company, Inc. | — | 531 | Comp not disclosed Premium $1,725,569 |
| Medical | Kaiser Foundation Health Plan Of The Northwest | — | 129 | Comp not disclosed Premium $740,536 |
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 $560,107
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Schneider Downs & Co, Inc | None | $20,134 | $144.85 |
| Buck Global, LLC | None | $17,302 | $124.47 |
| Central Data Services, Inc. | None | $170,356 | $33.39 |
| T Rowe Price Associates, Inc | None | $124,298 | $24.36 |
| Schneider Downs & Co, Inc | None | $41,369 | $8.11 |
| Pnc Bank National Association | Plan Trustee | $27,576 | $5.40 |
| Buck Global, LLC | None | $18,779 | $3.68 |
| T. Rowe Price Associates, Inc | Investment Issuer/Manager | $51,504 | $96.99 |
| Schneider Downs & Co, Inc | None | $35,202 | $66.29 |
| Central Data Services, Inc | None | $24,000 | $45.20 |
| Buck Global, LLC | None | $17,302 | $32.58 |
| Pnc National Bank Association | Plan Trustee | $12,285 | $23.14 |