Employer
Passavant Memorial Homes, Inc.
163 Thorn Hill Road, Warrendale, PA 15086 · EIN 25-1021794 · Aug 1, 2024 to Jul 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 $41,279
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Unitedhealthcare Insurance Company | — | 1590 | Comp not disclosed Premium $43,685 |
| Life | Unum Life Insurance Company Of America | Plansource Benefit Administration | 778 | $281 0.7% of $42,718 |
| Life | Unum Life Insurance Company Of America | Plansource Benefit Administration | 334 | $567 0.6% of $95,193 |
| Other | Unum Life Insurance Company Of America | Plansource Benefit Administration | 18 | $94 0.7% of $13,301 |
| Supplemental Insurance | Continental American Insurance Company | Seubert & Associates Inc | 318 | $37,027 18.9% of $196,307 |
| Supplemental Insurance | Continental American Insurance Company | Rita M Bergstein | 318 | $1,655 0.8% of $196,307 |
| Disability | Provident Life And Accident Insurance Company | Seubert & Associates Inc | 18 | $1,281 4.7% of $27,075 |
| Disability | Provident Life And Accident Insurance Company | Babb Inc | 18 | $374 1.4% of $27,075 |
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.