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Employer
400 Guys Run Road, Cheswick, PA 15024 · EIN 81-3489093 · 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 $98,652
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Kaiser Foundation Health Plan, Inc. | — | 149 | Comp not disclosed Premium $1,020,628 |
| Dental | Metropolitan Life Insurance Company | Alliant Insurance Services, Inc. | 3495 | $16,546 1.8% of $897,241 |
| Dental | Metropolitan Life Insurance Company | Alliant Ins Services Inc | 3495 | $13,301 1.5% of $897,241 |
| Vision | Vision Service Plan | — | 1568 | Comp not disclosed Premium $251,362 |
| Life | Life Insurance Company Of North America | Alliant Insurance Services, Inc. | 2312 | $4,684 0.6% of $773,997 |
| AD&D | Life Insurance Company Of North America | Alliant Insurance Services, Inc. | 2297 | $528 0.5% of $110,628 |
| Accidental Death & Dismemberment | Federal Insurance Company | — | 2011 | Comp not disclosed |
| Other | Life Insurance Company Of North America | Alliant Insurance Services, Inc. | 2132 | $2,329 0.4% of $588,883 |
| Other | New York Life Group Insurance Company Of New York | Alliant Insurance Services, Inc. | 8 | $38 0.8% of $4,930 |
| Accident , Critical Illness, Hospital Confinement | Reliastar Life Insurance Company | Alliant Insurance Services, Inc. | 451 | $46,898 20.0% of $234,491 |
| Accident , Critical Illness, Hospital Confinement | Reliastar Life Insurance Company | Empyrean Insurance Services, Inc | 451 | $9,380 4.0% of $234,491 |
| Accident , Critical Illness, Hospital Confinement | Reliastar Life Insurance Company | Alliant Insurance Services, Inc. | 451 | $4,948 2.1% of $234,491 |
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.