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Employer
1576 Stoystown Road, Friedens, PA 15541 · EIN 38-3826202 · 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 $93,656
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Dental | Delta Dental Of Pennsylvania | — | 843 | Comp not disclosed Premium $140,161 |
| Life | Metropolitan Life Insurance Company | Seubert & Associates, Inc. | 363 | $40,226 16.2% of $248,074 |
| Life | Metropolitan Life Insurance Company | Professional Group Plans, Inc. | 363 | $13,220 5.3% of $248,074 |
| Life | Metropolitan Life Insurance Company | Seubert & Associates Inc. | 155 | $7,673 12.3% of $62,360 |
| Life | Metropolitan Life Insurance Company | Professional Group Plans, Inc. | 155 | $2,565 4.1% of $62,360 |
| Legal | Metlife Legal Plans | Seubert & Associates, Inc. | 28 | $1,241 12.6% of $9,861 |
| Critical Illness | Metropolitan Life Insurance Company | Seubert & Associates, Inc. | 360 | $10,852 21.4% of $50,609 |
| Critical Illness | Metropolitan Life Insurance Company | Professional Group Plans, Inc. | 360 | $2,733 5.4% of $50,609 |
| Critical Illness | Metropolitan Life Insurance Company | Seubert & Associates, Inc. | 83 | $5,227 20.0% of $26,142 |
| Critical Illness | Metropolitan Life Insurance Company | Professional Group Plans, Inc. | 83 | $1,342 5.1% of $26,142 |
| Accident | Metropolitan Life Insurance Company | Seubert & Associates, Inc. | 121 | $6,814 19.8% of $34,462 |
| Accident | Metropolitan Life Insurance Company | Professional Group Plans, Inc. | 121 | $1,763 5.1% of $34,462 |
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.