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Employer
860 Brentwood Drive, Greenville, PA 16125 · EIN 31-1314786 · 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 $66,100
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Cigna Health And Life Insurance Company | Seubert & Associates Inc. | 106 | $51,261 14.6% of $350,984 |
| Dental + Vision | Ameritas Life Insurance Corp. | Seubert & Associates Inc. | 184 | $2,890 3.8% of $75,570 |
| Life | The Lincoln National Life Insurance Company | Seubert & Associates Inc. | 113 | $1,634 10.7% of $15,337 |
| Life | The Lincoln National Life Insurance Company | Archon, LLC | 113 | $1,256 8.2% of $15,337 |
| Life | The Lincoln National Life Insurance Company | Seubert & Associates, Inc. | 33 | $2,090 10.0% of $20,903 |
| Life | The Lincoln National Life Insurance Company | Archon, LLC | 33 | $1,744 8.3% of $20,903 |
| Other | The Lincoln National Life Insurance Company | Seubert & Associates Inc. | 111 | $1,230 12.0% of $10,252 |
| Other | The Lincoln National Life Insurance Company | Archon, LLC | 111 | $841 8.2% of $10,252 |
| Hospital Indemnity | The Lincoln National Life Insurance Company | Seubert & Associates Inc. | 4 | $853 25.0% of $3,412 |
| Hospital Indemnity | The Lincoln National Life Insurance Company | Archon, LLC | 4 | $282 8.3% of $3,412 |
| Critical Illness | The Lincoln National Life Insurance Company | Seubert & Associates Inc. | 5 | $636 25.0% of $2,544 |
| Critical Illness | The Lincoln National Life Insurance Company | Archon, LLC | 5 | $252 9.9% of $2,544 |
| Accident | The Lincoln National Life Insurance Company | Seubert & Associates Inc. | 10 | $852 25.0% of $3,410 |
| Accident | The Lincoln National Life Insurance Company | Archon, LLC | 10 | $279 8.2% of $3,410 |
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.