Employer
Keystone Surveying & Mapping, Inc.
163 W Burrell St Ext, Blairsville, PA 15717 · EIN 45-2610580 · Nov 1, 2024 to Oct 31, 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 $83,508
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Life | Sun Life Assurance Company Of Canada | Cbiz Benefits & Ins. Services | 152 | $6,581 7.5% of $87,276 |
| Life | Sun Life Assurance Company Of Canada | The Earl Luttner Group, Inc. | 152 | $1,489 1.7% of $87,276 |
| Dental | United Concordia Insurance Company | — | 251 | Schedule A not provided |
| Dental | United Concordia Insurance Company | — | 251 | Schedule A not provided |
| Life | Colonial Life & Accidental Insurance Company | David Russell | 6 | $538 11.3% of $4,745 |
| Life | Colonial Life & Accidental Insurance Company | Andrea Stearns | 6 | $47 1.0% of $4,745 |
| Medical | Highmark Inc | Cbiz Benefits & Ins. Services | 2245 | $57,950 2.8% of $2,084,970 |
| Medical | Highmark Inc | Emerson Rogers LLC | 2245 | $5,121 0.2% of $2,084,970 |
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.