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Employer
424 South 27 Street, Pittsburgh, PA 15203 · EIN 90-0916427 · Aug 1, 2024 to Jul 31, 2025
Plan year 2024
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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 $117,471
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Highmark | Seubert & Associates, Inc. | 411 | $54,978 3.1% of $1,762,316 |
| Dental | Highmark | Seubert & Associates, Inc. | 416 | $10,406 9.8% of $106,527 |
| Vision | Highmark | Seubert & Associates, Inc. | 410 | $794 3.0% of $26,905 |
| Life | Standard Insurance Company | Seubert & Associates, Inc. | 206 | $4,319 15.9% of $27,129 |
| Life | Standard Insurance Company | Professional Group Plans, Inc. | 206 | $1,505 5.5% of $27,129 |
| Other | Standard Insurance Company | Seubert & Associates, Inc. | 137 | $8,908 15.4% of $57,661 |
| Other | Standard Insurance Company | Professional Group Plans, Inc. | 137 | $3,082 5.3% of $57,661 |
| Other | Standard Insurance Company | Seubert & Associates, Inc. | 144 | $7,656 15.4% of $49,563 |
| Other | Standard Insurance Company | Professional Group Plans, Inc. | 144 | $2,649 5.3% of $49,563 |
| Other | Highmark | — | 411 | Comp not disclosed Premium $624,669 |
| Accident, Critical Illness, Hospital Indemnity | Standard Insurance Company | Enrollment Benefit Concepts LLC | 235 | $12,251 15.1% of $80,982 |
| Accident, Critical Illness, Hospital Indemnity | Standard Insurance Company | Seubert & Associates, Inc. | 235 | $5,480 6.8% of $80,982 |
| Accident, Critical Illness, Hospital Indemnity | Standard Insurance Company | Professional Group Plans, Inc. | 235 | $5,443 6.7% of $80,982 |
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.