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Employer
2570 Boyce Plaza Rd., Pittsburgh, PA 15241 · EIN 26-3493769 · Dec 1, 2022 to Nov 30, 2023
Plan year 2022
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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 $27,299
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Highmark, Inc. | Stalwart Insurance LLC | 61 | $10,469 1.9% of $559,347 |
| Medical | Highmark, Inc. | Aaron Daniel Gander | 61 | $6,312 1.1% of $559,347 |
| Dental | Highmark, Inc. | Stalwart Insurance LLC | 93 | $1,499 6.1% of $24,506 |
| Dental | Highmark, Inc. | Aaron Daniel Gander | 93 | $951 3.9% of $24,506 |
| Vision | Highmark, Inc. | — | 75 | Comp not disclosed Premium $8,140 |
| Life | Unum Life Insurance Company Of America | Stalwart Insurance LLC | 73 | $3,380 12.9% of $26,302 |
| Life | Unum Life Insurance Company Of America | Stalwart Insurance LLC | 35 | $3,215 16.2% of $19,814 |
| Life | Unum Life Insurance Company Of America | Gis Benefits Inc. | 35 | $81 0.4% of $19,814 |
| Other | Unum Life Insurance Company Of America | Stalwart Insurance LLC | 10 | $629 15.0% of $4,192 |
| Other | Highmark, Inc. | Stalwart Insurance LLC | 9 | $482 1.9% of $25,433 |
| Other | Highmark, Inc. | Aaron Daniel Gander | 9 | $281 1.1% of $25,433 |
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.