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Employer
1100 West Long Avenue, Dubois, PA 15801 · EIN 25-1358245 · 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 $46,712
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Sun Life Assurance Company Of Canada | Swift Kennedy & Associates, Inc. | 175 | $15,612 6.1% of $254,463 |
| Stop-loss | Sun Life Assurance Company Of Canada | Swift Kennedy & Associates, Inc. | 141 | $16,801 5.4% of $310,962 |
| Accident | Aflac | Nicole Ann Steele | 82 | $6,184 9.4% of $66,033 |
| Accident | Aflac | Kelly M Ferut | 82 | $1,548 2.3% of $66,033 |
| Accident | Aflac | Katie Marie Zameroski | 82 | $1,432 2.2% of $66,033 |
| Accident | Aflac | Rachel Burkett-Gildersleeve | 82 | $1,306 2.0% of $66,033 |
| Accident | Aflac | Kacie C Kear | 82 | $431 0.7% of $66,033 |
| Accident | Aflac | Charlene M Kosko | 82 | $406 0.6% of $66,033 |
| Accident | Aflac | Kayla Renee Gordon | 82 | $288 0.4% of $66,033 |
| Accident | Aflac | Hannah V Bickle | 82 | $255 0.4% of $66,033 |
| Accident | Aflac | Casey Marie Bonidie | 82 | $235 0.4% of $66,033 |
| Accident | Aflac | Brian W Patten | 82 | $233 0.4% of $66,033 |
| Accident | Aflac | Mary P King | 82 | $126 0.2% of $66,033 |
| Accident | Aflac | The Blue Orange Solutions | 82 | $110 0.2% of $66,033 |
| Accident | Aflac | Lichvarcik Ins Agcy | 82 | $90 0.1% of $66,033 |
| Accident | Aflac | Amanda Stein | 82 | $68 0.1% of $66,033 |
| Accident | Aflac | Billy M Crain | 82 | $58 0.1% of $66,033 |
| Accident | Aflac | Jerome M Gavazzi | 82 | $31 0.0% of $66,033 |
| Accident | Aflac | Matthew Ryan Kirkwood | 82 | $31 0.0% of $66,033 |
| Accident | Aflac | Sharon Lyn Speerhas | 82 | $30 0.0% of $66,033 |
| Accident | Aflac | Timothy R Quinlan | 82 | $21 0.0% of $66,033 |
| Accident | Aflac | Jeffrey Correal | 82 | $20 0.0% of $66,033 |
| Accident | Aflac | Paige Quinn | 82 | $20 0.0% of $66,033 |
| Accident | Aflac | Karen S Nosker | 82 | $18 0.0% of $66,033 |
| Accident | Aflac | Dennis L Hulse | 82 | $11 0.0% of $66,033 |
| Accident | Aflac | Shari Learish | 82 | $11 0.0% of $66,033 |
| Accident | Aflac | Benjamin T Aaron | 82 | $9 0.0% of $66,033 |
| Accident | Aflac | Brian Todd Kauffman | 82 | $8 0.0% of $66,033 |
| Accident | Aflac | Dominick J Lacaria | 82 | $7 0.0% of $66,033 |
| Accident | Aflac | Dana L Spittler | 82 | $7 0.0% of $66,033 |
| Accident | Aflac | Candace D Parson | 82 | $6 0.0% of $66,033 |
| Accident | Aflac | Bonnie B Hockins | 82 | $5 0.0% of $66,033 |
| Accident | Aflac | Karen L Michelitsch | 82 | $4 0.0% of $66,033 |
| Accident | Aflac | Jessica Michaux | 82 | $4 0.0% of $66,033 |
| Accident | Aflac | Ryan Cavalline | 82 | $4 0.0% of $66,033 |
| Accident | Aflac | Joy Grube Padgelek | 82 | $3 0.0% of $66,033 |
| Accident | Aflac | Daniel E Torres | 82 | $1 0.0% of $66,033 |
| Accident | Aflac | Heather Haag | 82 | $1 0.0% of $66,033 |
| Accident | Aflac | James G Brandt | 82 | $1 0.0% of $66,033 |
| Accident | Aflac | James David Porterfield | 82 | $1 0.0% of $66,033 |
| Accident | Aflac | John Patrick Frick Jr | 82 | $1 0.0% of $66,033 |
| Accident | Aflac | Kristin J Quinlan | 82 | $1 0.0% of $66,033 |
| Accident | Aflac | Ryan Ferut | 82 | $758 1.1% of $66,033 |
| Accident | Aflac | Peggy Lynn Stormer | 82 | $515 0.8% of $66,033 |
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.