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Employer
2420 Mosside Boulevard, Monroeville, PA 15146 · EIN 25-1190388 · Apr 1, 2021 to Mar 31, 2022
Plan year 2021
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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 $60,309
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Companion Life Insurance Company | Seubert & Associates Inc. | 317 | $7,498 1.0% of $749,836 |
| Vision | Fidelity Security Life Insurance Company | Seubert & Associates, Inc. | 606 | $2,082 5.9% of $35,473 |
| Life | Reliance Standard Life Insurance Company | Seubert & Associates, Inc. | 405 | $6,050 17.9% of $33,832 |
| Life | Reliance Standard Life Insurance Company | Professional Group Plans, Inc. | 405 | $789 2.3% of $33,832 |
| Life | Reliance Standard Life Insurance Company | Seubert & Associates Inc. | 62 | $5,556 17.9% of $31,004 |
| Life | Reliance Standard Life Insurance Company | Professional Group Plans, Inc. | 62 | $732 2.4% of $31,004 |
| Accident, Critical Illness, Cancer | Colonial Life & Accident Insurance Company | Deeann Greene-Marszalek | 1 | $13 2.6% of $499 |
| Accident, Critical Illness, Cancer | Colonial Life & Accident Insurance Company | Seubert & Associates, Inc. | 1 | $11 2.2% of $499 |
| Accident, Critical Illness, Cancer | Colonial Life & Accident Insurance Company | Tammy A Morgart | 1 | $7 1.4% of $499 |
| Accident, Critical Illness, Cancer | Colonial Life & Accident Insurance Company | Bryer Insurance Services, Inc. | 1 | $2 0.4% of $499 |
| Accident, Critical Illness, Cancer | Colonial Life & Accident Insurance Company | Timothy J Slater | 1 | $2 0.4% of $499 |
| Accident, Critical Illness, Cancer | Colonial Life & Accident Insurance Company | Mountain State Employee Benefit LLC | 1 | $2 0.4% of $499 |
| Accident, Critical Illness, Cancer | Colonial Life & Accident Insurance Company | Deeann Greene-Marszalek | 43 | $774 2.2% of $35,434 |
| Accident, Critical Illness, Cancer | Colonial Life & Accident Insurance Company | Seubert & Associates Inc. | 43 | $620 1.7% of $35,434 |
| Accident, Critical Illness, Cancer | Colonial Life & Accident Insurance Company | Tammy A Morgart | 43 | $382 1.1% of $35,434 |
| Accident, Critical Illness, Cancer | Colonial Life & Accident Insurance Company | Bryer Insurance Services, Inc. | 43 | $308 0.9% of $35,434 |
| Accident, Critical Illness, Cancer | Colonial Life & Accident Insurance Company | Mountain State Employee Benefits | 43 | $269 0.8% of $35,434 |
| Accident, Critical Illness, Cancer | Colonial Life & Accident Insurance Company | Nancy L Beatty | 43 | $215 0.6% of $35,434 |
| Accident, Critical Illness, Cancer | Colonial Life & Accident Insurance Company | Arick Martin | 43 | $109 0.3% of $35,434 |
| Accident, Critical Illness, Cancer | Colonial Life & Accident Insurance Company | Mountain State Employee Benefits | 43 | $91 0.3% of $35,434 |
| Accident, Critical Illness, Cancer | Colonial Life & Accident Insurance Company | Timothy Slater | 43 | $62 0.2% of $35,434 |
| Accident, Critical Illness, Cancer | Colonial Life & Accident Insurance Company | Howard Horowitz | 43 | $31 0.1% of $35,434 |
| Accident, Critical Illness, Cancer | Colonial Life & Accident Insurance Company | Lisa M Bryer | 43 | $17 0.0% of $35,434 |
| Accident, Critical Illness, Cancer | Colonial Life & Accident Insurance Company | William Good | 43 | $13 0.0% of $35,434 |
| Accident, Critical Illness, Cancer | Colonial Life & Accident Insurance Company | David E. Hauck | 43 | $3 0.0% of $35,434 |
| Accident, Critical Illness, Cancer | Colonial Life & Accident Insurance Company | Sara Marie Bryer | 43 | $1 0.0% of $35,434 |
| Accident, Critical Illness, Cancer | Colonial Life & Accident Insurance Company | Seubert & Associates, Inc. | 2 | $38 2.8% of $1,360 |
| Accident, Critical Illness, Cancer | Colonial Life & Accident Insurance Company | Mountain State Employee Benefits | 2 | $26 1.9% of $1,360 |
| Accident, Critical Illness, Cancer | Colonial Life & Accident Insurance Company | Howard J. Horowitz | 2 | $17 1.3% of $1,360 |
| Accident, Critical Illness, Cancer | Colonial Life & Accident Insurance Company | Mountain State Employee Benefits | 2 | $13 1.0% of $1,360 |
| Accident, Critical Illness, Cancer | Colonial Life & Accident Insurance Company | Tammy A. Morgart | 2 | $8 0.6% of $1,360 |
| Other | Reliance Standard Life Insurance Company | Seubert & Associates, Inc. | 404 | $15,322 17.4% of $88,051 |
| Other | Reliance Standard Life Insurance Company | Professional Group Plans, Inc. | 404 | $2,047 2.3% of $88,051 |
| Other | Reliance Standard Life Insurance Company | Seubert & Associates, Inc. | 404 | $14,132 17.9% of $78,883 |
| Other | Reliance Standard Life Insurance Company | Professional Group Plans, Inc. | 404 | $1,834 2.3% of $78,883 |
| Accident, Critical Illness, Cancer | Colonial Life And Accident Insurance Company | Bryer Insurance Services Inc | 19 | $325 2.5% of $12,853 |
| Accident, Critical Illness, Cancer | Colonial Life And Accident Insurance Company | Tammy A Morgart | 19 | $217 1.7% of $12,853 |
| Accident, Critical Illness, Cancer | Colonial Life And Accident Insurance Company | Agora Benefits LLC | 19 | $200 1.6% of $12,853 |
| Accident, Critical Illness, Cancer | Colonial Life And Accident Insurance Company | Deeann Greene-Marszalek | 19 | $200 1.6% of $12,853 |
| Accident, Critical Illness, Cancer | Colonial Life And Accident Insurance Company | Seubert And Associates Inc | 19 | $173 1.3% of $12,853 |
| Accident, Critical Illness, Cancer | Colonial Life And Accident Insurance Company | Mountain State Employee Benefits Ll | 19 | $43 0.3% of $12,853 |
| Accident, Critical Illness, Cancer | Colonial Life And Accident Insurance Company | Nancy L Beatty | 19 | $30 0.2% of $12,853 |
| Accident, Critical Illness, Cancer | Colonial Life And Accident Insurance Company | Mountain State Employee Benefits | 19 | $20 0.2% of $12,853 |
| Accident, Critical Illness, Cancer | Colonial Life And Accident Insurance Company | Timothy J Slater | 19 | $16 0.1% of $12,853 |
| Accident, Critical Illness, Cancer | Colonial Life And Accident Insurance Company | William E Good | 19 | $7 0.1% of $12,853 |
| Accident, Critical Illness, Cancer | Colonial Life And Accident Insurance Company | Lisa M Bryer | 19 | $1 0.0% of $12,853 |
| Accident, Critical Illness, Cancer | Colonial Life And Accident Insurance Company | Sara Marie Bryer | 19 | $1 0.0% of $12,853 |
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.