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Employer
2030 Ader Road, Jeannette, PA 15644 · EIN 25-1605898 · Jan 1, 2024 to Dec 31, 2024
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 $34,211
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Highmark, Inc. | Seubert & Associates Inc. | 149 | $20,266 1.9% of $1,073,545 |
| Dental | Metropolitan Life Insurance Company | Seubert & Associates Inc. | 230 | $3,249 4.4% of $73,796 |
| Dental | Metropolitan Life Insurance Company | Gis Benefits Inc. | 230 | $1,986 2.7% of $73,796 |
| Dental | Highmark, Inc. | Seubert & Associates Inc. | 172 | $812 1.6% of $51,276 |
| Accident | Metropolitan Life Insurance Company | Seubert & Associates Inc. | 92 | $756 11.2% of $6,756 |
| Accident | Metropolitan Life Insurance Company | Gis Benefits Inc. | 92 | $151 2.2% of $6,756 |
| Accident | Metropolitan Life Insurance Company | Mark Mettille | 92 | $35 0.5% of $6,756 |
| Accident | Metropolitan Life Insurance Company | Seubert & Associates Inc. | 69 | $1,090 10.9% of $9,981 |
| Accident | Metropolitan Life Insurance Company | Gis Benefits Inc. | 69 | $213 2.1% of $9,981 |
| Accident | Metropolitan Life Insurance Company | Mark Mettille | 69 | $30 0.3% of $9,981 |
| Critical Illness | Metropolitan Life Insurance Company | Seubert & Associates Inc. | 104 | $1,611 9.4% of $17,150 |
| Critical Illness | Metropolitan Life Insurance Company | Gis Benefits Inc. | 104 | $397 2.3% of $17,150 |
| Critical Illness | Metropolitan Life Insurance Company | Mark Mettille | 104 | $83 0.5% of $17,150 |
| Other | Highmark, Inc. | Seubert & Associates Inc. | 66 | $3,532 1.7% of $210,201 |
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.