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Employer
30 Isabella Street, Pittsburgh, PA 15212 · EIN 25-1615902 · 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 $772,096
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | HM Life Insurance Company | Buck Global, LLC | 9643 | $18,616 2.0% of $930,328 |
| Medical | Cigna Health And Life Insurance Company | Buck Global, LLC | 2 | $6,482 9.2% of $70,710 |
| Dental | Metropolitan Life Insurance Company | Buck Global, LLC | 21162 | $145,724 2.0% of $7,282,933 |
| Life | Lincoln National Life Insurance Company | Corporate Benefit Consultants | 11222 | $172,018 2.7% of $6,274,544 |
| Life | Lincoln National Life Insurance Company | J12 Concepts | 11222 | $67,753 1.1% of $6,274,544 |
| Business Travel Accident | Federal Insurance Company | J12 Concepts, LLC | — | Comp not disclosed |
| Other | Lincoln National Life Insurance Company | Corporate Benefit Consultants | 5791 | $54,219 2.3% of $2,358,299 |
| Accident, Critical Illness, Hospital Indemnity | Reliastar Life Insurance Company | Buck Global, LLC | 4822 | $280,704 24.9% of $1,125,448 |
| Legal | Metlife Legal Plans | Buck Global, LLC | 1041 | $25,599 12.4% of $206,598 |
| Legal | Metlife Legal Plans | Mellon | 1041 | $18 0.0% of $206,598 |
| Stop-loss | HM Life Insurance Company | — | 5 | Comp not disclosed Premium $478 |
| Life | Lincoln National Life Insurance Company | Corporate Benefit Consultants | 113 | $691 2.7% of $25,537 |
| Life | Lincoln National Life Insurance Company | J12 Concepts | 113 | $272 1.1% of $25,537 |
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.