Employer
Ford Business Machines, Inc.
700 Laurel Drive, Connellsville, PA 15425 · EIN 25-1666683 · Oct 1, 2024 to Sep 30, 2025
Plan year 2024
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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 $2,453
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Life | The Lincoln National Life Insurance Company | Seubert & Associates Inc. | 121 | $1,594 15.0% of $10,627 |
| Life | The Lincoln National Life Insurance Company | Gis Benefits Inc. | 121 | $728 6.9% of $10,627 |
| Life | The Lincoln National Life Insurance Company | Archon LLC | 121 | $131 1.2% of $10,627 |
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.