Employer
Center Independent Oil Stores, LLC
1057 Clinton Road, Clinton, PA 15026 · EIN 27-5496791 · Jan 1, 2025 to Dec 31, 2025
Plan year 2025
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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 $5,022
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Dental + Vision | Reliance Standard Life Insurance Company | Seubert & Associates Inc. | 92 | $2,162 10.0% of $21,618 |
| Dental + Vision | Reliance Standard Life Insurance Company | Professional Group Plans, Inc. | 92 | $1,081 5.0% of $21,618 |
| Life | Reliance Standard Life Insurance Company | Seubert & Associates Inc. | 138 | $1,067 15.2% of $7,009 |
| Life | Reliance Standard Life Insurance Company | Gis Benefits Inc. | 138 | $356 5.1% of $7,009 |
| Life | Reliance Standard Life Insurance Company | Professional Group Plans, Inc. | 138 | $356 5.1% of $7,009 |
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.