Employer
West Penn Energy Services, LLC
865 State Route 210, Shelocta, PA 15774 · EIN 26-1240729 · Jul 1, 2024 to Jun 30, 2025
Plan year 2024
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Schedule A
Direct compensation
Coverage contracts on the filing. If the carrier did not provide Schedule A, the row is listed with that note.
Visible subtotal $50,796
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Upmc Health Options | Assuredpartners | 200 | $41,477 4.1% of $1,001,891 |
| Dental | Upmc Health Benefits | — | 128 | Schedule A not provided |
| Vision | Highmark Inc. | Assuredpartners | 196 | $222 1.9% of $11,758 |
| Life | American United Life Insurance Company | — | 103 | Schedule A not provided |
| Life | American United Life Insurance Company | — | 103 | Schedule A not provided |
Schedule C
Additional compensation
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.