Employer

Pennian Bank

2 N. Main Street, Mifflintown, PA 17059 · EIN 23-0873877 · Jan 1, 2025 to Dec 31, 2025

Plan year 2025

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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 $17,065

Coverage	Carrier	Broker	Lives	Direct comp
Dental	United Concordia Insurance Company	Lr Webber	94	$5,472 10.8% of $50,627
Vision	Vision Benefits Of America	Leavitt Northeast Insurance, Inc.	39	$215 5.0% of $4,304
Life	American United Life Insurance Company	Lr Webber	116	$11,378 20.8% of $54,583

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.