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Employer
857 Reynolds Industrial Park Road, Greenville, PA 16125 · EIN 25-1863439 · 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 $83,524
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Highmark, Inc. | Seubert & Associates, Inc. | 273 | $38,115 3.2% of $1,189,474 |
| Dental | Sun Life Assurance Company Of Canada | Professional Group Plans, Inc. | 147 | $4,013 5.7% of $70,144 |
| Dental | Sun Life Assurance Company Of Canada | Seubert & Associates Inc. | 147 | $3,187 4.5% of $70,144 |
| Vision | Vision Benefits Of America | Seubert & Associates | 219 | $942 7.0% of $13,376 |
| Vision | Vision Benefits Of America | Manufacturer & Business Assn. | 219 | $265 2.0% of $13,376 |
| Vision | Vision Benefits Of America | The Dbj Group Inc | 219 | $265 2.0% of $13,376 |
| Vision | Vision Benefits Of America | Seubert & Associates Inc. | 211 | $296 4.2% of $7,033 |
| Life | Life Insurance Company Of North America | Seubert & Associates | — | $1,282 10.0% of $12,824 |
| Life | Life Insurance Company Of North America | Professional Group Plans | — | $641 5.0% of $12,824 |
| Life | Life Insurance Company Of North America | — | — | Comp not disclosed Premium $263 |
| AD&D | Life Insurance Company Of North America | Seubert & Associates Inc. | — | $558 10.0% of $5,585 |
| AD&D | Life Insurance Company Of North America | Professional Group Plans, Inc. | — | $279 5.0% of $5,585 |
| Critical Illness, Accident, Hospital Indemnity | Continental American Insurance Company | Enrollment Benefit Concepts, LLC | 48 | $7,993 9.0% of $89,302 |
| Critical Illness, Accident, Hospital Indemnity | Continental American Insurance Company | Tracey Hinrichs | 48 | $6,330 7.1% of $89,302 |
| Critical Illness, Accident, Hospital Indemnity | Continental American Insurance Company | Seubert & Associates, Inc. | 48 | $6,131 6.9% of $89,302 |
| Critical Illness, Accident, Hospital Indemnity | Continental American Insurance Company | The Dbj Group Inc | 48 | $480 0.5% of $89,302 |
| Critical Illness, Accident, Hospital Indemnity | Continental American Insurance Company | Alynn Grace Cervone | 48 | $59 0.1% of $89,302 |
| Critical Illness, Accident, Hospital Indemnity | Continental American Insurance Company | Smith Benefits Consulting Group | 48 | $5 0.0% of $89,302 |
| Other | Life Insurance Company Of North America | Seubert & Associates Inc. | — | $3,888 5.3% of $73,387 |
| Other | Life Insurance Company Of North America | Professional Group Plans, Inc. | — | $3,670 5.0% of $73,387 |
| Other | Life Insurance Company Of North America | Seubert & Associates Inc. | — | $3,618 12.0% of $30,144 |
| Other | Life Insurance Company Of North America | Professional Group Plan | — | $1,507 5.0% of $30,144 |
| Other | Highmark, Inc. | — | 273 | Comp not disclosed Premium $312,881 |
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.