Employer
Susquehanna Community Bank
940 High Street, West Milton, PA 17886 · EIN 23-2695045 · 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 $19,907
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Dental | United Concordia Insurance Company | Leavitt Northeast Insurance | 52 | $2,052 10.0% of $20,451 |
| Vision | Ngl | Lr Webber | 50 | $468 10.0% of $4,679 |
| Life | Americal United Life Insurance Company | Leavitt Northeast Insurance | 85 | $17,387 26.1% of $66,511 |
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.