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Employer
600 Cranberry Woods Drive, Cranberry Township, PA 16066 · EIN 20-0077153 · Jan 1, 2025 to Dec 31, 2025
Plan year 2025
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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 $75,440
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Highmark, Inc. | Seubert & Associates, Inc. | 360 | $41,668 2.9% of $1,444,605 |
| Dental | Highmark, Inc. | Seubert & Associates, Inc. | 308 | $6,188 9.7% of $63,677 |
| Vision | Highmark, Inc. | Seubert & Associates, Inc. | 295 | $490 3.0% of $16,605 |
| Life | United Of Omaha Life Insurance Company | Seubert & Associates, Inc. | 188 | $624 14.7% of $4,255 |
| Life | United Of Omaha Life Insurance Company | Professional Group Plans, Inc. | 188 | $213 5.0% of $4,255 |
| Life | United Of Omaha Life Insurance Company | Seubert & Associates, Inc. | 101 | $7,522 19.7% of $38,130 |
| Life | United Of Omaha Life Insurance Company | Professional Group Plans, Inc. | 101 | $1,907 5.0% of $38,130 |
| Other | Highmark, Inc. | — | 288 | Comp not disclosed Premium $640,500 |
| Other | United Of Omaha Life Insurance Company | Seubert & Associates, Inc. | 92 | $8,998 20.1% of $44,838 |
| Other | United Of Omaha Life Insurance Company | Professional Group Plans, Inc. | 92 | $2,242 5.0% of $44,838 |
| Other | United Of Omaha Life Insurance Company | Seubert & Associates, Inc. | 188 | $4,351 17.6% of $24,749 |
| Other | United Of Omaha Life Insurance Company | Professional Group Plans, Inc. | 188 | $1,237 5.0% of $24,749 |
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.