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Employer
502 Keystone Drive, Warrendale, PA 15086 · EIN 25-1202618 · 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 $97,186
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Symetra Life Insurance Company | Frissora & Associates, LLC | 312 | $13,548 3.0% of $449,547 |
| Dental | Delta Dental Of Pennsylvania | Seubert & Associates Inc. | 547 | $8,537 4.3% of $200,713 |
| Vision | United Of Omaha Life Insurance Company | Professional Group Plans, Inc. | 271 | $1,847 5.0% of $36,946 |
| Vision | United Of Omaha Life Insurance Company | Seubert & Associates Inc. | 271 | $1,108 3.0% of $36,946 |
| Life | United Of Omaha Life Insurance Company | Seubert & Associates, Inc. | 439 | $6,312 15.6% of $40,397 |
| Life | United Of Omaha Life Insurance Company | Professional Group Plans, Inc. | 439 | $2,020 5.0% of $40,397 |
| Life | United Of Omaha Life Insurance Company | Paycor, Inc. | 439 | $808 2.0% of $40,397 |
| Life | United Of Omaha Life Insurance Company | Seubert & Associates Inc. | 115 | $8,118 18.4% of $44,024 |
| Life | United Of Omaha Life Insurance Company | Professional Group Plans, Inc. | 115 | $2,201 5.0% of $44,024 |
| Life | United Of Omaha Life Insurance Company | Paycor, Inc. | 115 | $881 2.0% of $44,024 |
| Critical Illness | United Of Omaha Life Insurance Company | Seubert & Associates, Inc. | 65 | $8,246 30.3% of $27,177 |
| Critical Illness | United Of Omaha Life Insurance Company | Paycor, Inc. | 65 | $1,495 5.5% of $27,177 |
| Critical Illness | United Of Omaha Life Insurance Company | Professional Group Plans, Inc. | 65 | $1,359 5.0% of $27,177 |
| Accident | United Of Omaha Life Insurance Company | Seubert & Associates, Inc. | 107 | $4,462 31.2% of $14,290 |
| Accident | United Of Omaha Life Insurance Company | Paycor, Inc. | 107 | $786 5.5% of $14,290 |
| Accident | United Of Omaha Life Insurance Company | Professional Group Plans | 107 | $715 5.0% of $14,290 |
| Other | United Of Omaha Life Insurance Company | Seubert & Associates, Inc. | 439 | $17,916 15.6% of $114,657 |
| Other | United Of Omaha Life Insurance Company | Professional Group Plans, Inc. | 439 | $5,733 5.0% of $114,657 |
| Other | United Of Omaha Life Insurance Company | Paycor, Inc. | 439 | $2,293 2.0% of $114,657 |
| Other | United Of Omaha Life Insurance Company | Seubert & Associates Inc. | 128 | $6,127 16.0% of $38,202 |
| Other | United Of Omaha Life Insurance Company | Professional Group Plans, Inc. | 128 | $1,910 5.0% of $38,202 |
| Other | United Of Omaha Life Insurance Company | Paycor, Inc. | 128 | $764 2.0% of $38,202 |
| Transplant | United Healthcare Insurance Company | — | 556 | Comp not disclosed Premium $36,750 |
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.