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Employer
555 Morewood Avenue, Pittsburgh, PA 15213 · EIN 25-1030691 · Sep 1, 2024 to Aug 31, 2025
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 $60,191
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Upmc Health Options | Alera Group Inc DBA Arms Ins Group | 136 | $29,728 3.0% of $1,004,953 |
| Medical | Upmc Health Options | Alera Group Inc DBA Arms Ins Group | 87 | $16,608 2.8% of $593,800 |
| Medical | Upmc Health Options | Alera Group Inc DBA Arms Ins Group | — | $320 4.8% of $6,612 |
| Dental + Vision | Upmc Health Benefits | Alera Group Inc DBA Arms Ins Group | — | $48 11.0% of $438 |
| Dental + Vision | Upmc Health Benefits | Alera Group Inc DBA Arms Ins Group | 101 | $3,856 10.2% of $37,819 |
| Dental + Vision | Upmc Health Benefits | Alera Group Inc DBA Arms Ins Group | 132 | $4,425 10.2% of $43,188 |
| Dental + Vision | Upmc Health Benefits | Alera Group Inc DBA Arms Ins Group | 1 | $99 10.8% of $914 |
| Life | Reliance Standard Life Insurance Company | Chs Alera Group | 148 | $1,630 9.0% of $18,152 |
| Life | Reliance Standard Life Insurance Company | American Insurance Administrators | 148 | $984 5.4% of $18,152 |
| AD&D | Reliance Standard Life Insurance Company | Chs Alera Group | 43 | $130 15.0% of $865 |
| AD&D | Reliance Standard Life Insurance Company | American Insurance Administrators | 43 | $47 5.4% of $865 |
| Other | Reliance Standard Life Insurance Company | Chs Alera Group | 147 | $1,702 15.0% of $11,344 |
| Other | Reliance Standard Life Insurance Company | American Insurance Administrators | 147 | $614 5.4% of $11,344 |
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.