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Employer
180 West Midland Avenue, Midland, PA 15059 · EIN 45-3363841 · Aug 1, 2021 to Jul 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 $33,557
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Unitedhealthcare Insurance Company | Seubert & Associates, Inc. | 185 | $19,784 2.7% of $734,395 |
| Life | The Lincoln National Life Insurance Company | Seubert & Associates, Inc. | 83 | $453 13.8% of $3,271 |
| Life | The Lincoln National Life Insurance Company | Professional Group Plans, Inc. | 83 | $174 5.3% of $3,271 |
| Life | The Lincoln National Life Insurance Company | Seubert & Associates, Inc. | 42 | $2,480 15.0% of $16,530 |
| Life | The Lincoln National Life Insurance Company | Professional Group Plans, Inc. | 42 | $821 5.0% of $16,530 |
| Other | The Lincoln National Life Insurance Company | Seubert & Associates, Inc. | 37 | $2,061 15.0% of $13,742 |
| Other | The Lincoln National Life Insurance Company | Professional Group Plans, Inc. | 37 | $689 5.0% of $13,742 |
| Other | The Lincoln National Life Insurance Company | Seubert & Associates, Inc. | 48 | $2,036 9.6% of $21,275 |
| Other | The Lincoln National Life Insurance Company | Professional Group Plans, Inc. | 48 | $1,101 5.2% of $21,275 |
| Critical Illness | Unum Insurance Company | Seubert & Associates, Inc. | 29 | $1,351 15.3% of $8,821 |
| Worksite | Unum Life Insurance Company Of America | Seubert & Associates, Inc. | 80 | $2,607 15.1% of $17,298 |
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.