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Employer
3503 Peach Street, Erie, PA 16508 · EIN 25-0970927 · 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 $12,987
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Life | Aflac | Marilyn Wyman | 48 | $2,555 8.1% of $31,613 |
| Life | Aflac | The Hdh Group, Inc. | 48 | $1,903 6.0% of $31,613 |
| Life | Aflac | Kaylie A Ling | 48 | $248 0.8% of $31,613 |
| Life | Aflac | Stephanie V Boomgaarden | 48 | $151 0.5% of $31,613 |
| Life | Aflac | Michelle H Kelley | 48 | $108 0.3% of $31,613 |
| Life | Aflac | Ronald W Pusz | 48 | $94 0.3% of $31,613 |
| Life | Aflac | Brandi L Vanerstrom | 48 | $89 0.3% of $31,613 |
| Life | Aflac | Ezi Insurance Solutions | 48 | $69 0.2% of $31,613 |
| Life | Aflac | Patrick J Kelley | 48 | $57 0.2% of $31,613 |
| Life | Aflac | Lori L Clark | 48 | $48 0.2% of $31,613 |
| Life | Aflac | Donna J Shaw | 48 | $44 0.1% of $31,613 |
| Life | Aflac | Matthew Passalinqua | 48 | $39 0.1% of $31,613 |
| Life | Aflac | Margaret E Myers | 48 | $35 0.1% of $31,613 |
| Life | Aflac | Darby A Baer | 48 | $33 0.1% of $31,613 |
| Life | Aflac | Smith Benefits Consulting Group | 48 | $25 0.1% of $31,613 |
| Life | Aflac | Karges Benefits Consult Group LLC | 48 | $20 0.1% of $31,613 |
| Life | Aflac | Tammy Bilotti | 48 | $20 0.1% of $31,613 |
| Life | Aflac | Daniel William Dubowski | 48 | $15 0.0% of $31,613 |
| Life | Aflac | Brian Todd Kauffman | 48 | $12 0.0% of $31,613 |
| Life | Aflac | Billy M Crain | 48 | $12 0.0% of $31,613 |
| Life | Aflac | Jmp Benefits Group, Inc. | 48 | $9 0.0% of $31,613 |
| Life | Aflac | Timothy R Quinlan | 48 | $8 0.0% of $31,613 |
| Life | Aflac | Gerhard K Gaiser | 48 | $6 0.0% of $31,613 |
| Life | Aflac | Lisa M Beck | 48 | $2 0.0% of $31,613 |
| Life | Aflac | Brian W Patten | 48 | $2 0.0% of $31,613 |
| Life | Aflac | Lisa M Nearhoof | 48 | $1 0.0% of $31,613 |
| Life | Aflac | Joy Grube Padgelek | 48 | $1 0.0% of $31,613 |
| Life | Aflac | Smith Benefits Consulting Group | 48 | $1 0.0% of $31,613 |
| Life | Reliance Standard Life Insurance Company | The Hdh Group, Inc. | 230 | $605 8.2% of $7,365 |
| Life | Reliance Standard Life Insurance Company | Fna | 230 | $275 3.7% of $7,365 |
| Life | Reliance Standard Life Insurance Company | Seubert & Associates, Inc. | 230 | $205 2.8% of $7,365 |
| Life | Reliance Standard Life Insurance Company | Professional Group Plans, Inc. | 230 | $93 1.3% of $7,365 |
| Other | Reliance Standard Life Insurance Company | The Hdh Group, Inc. | 213 | $2,730 7.2% of $38,016 |
| Other | Reliance Standard Life Insurance Company | Seubert & Associates, Inc. | 213 | $1,571 4.1% of $38,016 |
| Other | Reliance Standard Life Insurance Company | Fna | 213 | $1,377 3.6% of $38,016 |
| Other | Reliance Standard Life Insurance Company | Professional Group Plans, Inc. | 213 | $524 1.4% of $38,016 |
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.