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Employer
2516 State Route 18, Wampum, PA 16157 · EIN 23-2872365 · Apr 1, 2024 to Mar 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 $50,372
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Upmc Health Options | Seubert & Associates Inc. | 23 | $3,080 2.6% of $116,374 |
| Medical | Upmc Health Options | Seubert & Associates Inc. | 54 | $5,434 2.0% of $275,840 |
| Medical | Upmc Health Options | Seubert & Associates Inc. | 116 | $22,968 3.8% of $607,827 |
| Dental + Vision | Upmc Health Benefits | Seubert & Associates Inc. | 204 | $5,333 9.4% of $56,996 |
| Dental + Vision | Upmc Health Benefits | Seubert & Associates Inc. | 32 | $828 9.1% of $9,122 |
| Accident, Critical Illness, Hospital Indemnity | Aflac | Alynn G Cervone | 4 | $157 4.2% of $3,716 |
| Accident, Critical Illness, Hospital Indemnity | Aflac | Michael J Kelly | 4 | $43 1.2% of $3,716 |
| Accident, Critical Illness, Hospital Indemnity | Aflac | Janice L Rogers | 4 | $40 1.1% of $3,716 |
| Accident, Critical Illness, Hospital Indemnity | Aflac | Temple K Woodley | 4 | $20 0.5% of $3,716 |
| Accident, Critical Illness, Hospital Indemnity | Aflac | Smith Benefits Consulting Group | 4 | $18 0.5% of $3,716 |
| Accident, Critical Illness, Hospital Indemnity | Aflac | Joy Grube Padgelek | 4 | $3 0.1% of $3,716 |
| Accident, Critical Illness, Hospital Indemnity | Aflac | James G Brandt | 4 | $2 0.1% of $3,716 |
| Accident, Critical Illness, Hospital Indemnity | Aflac | Kaylie A Ling | 4 | $2 0.1% of $3,716 |
| Accident, Critical Illness, Hospital Indemnity | Continental American Insurance Company | The Dbj Group Inc | 97 | $5,223 6.3% of $82,634 |
| Accident, Critical Illness, Hospital Indemnity | Continental American Insurance Company | Alynn G Cervone | 97 | $3,503 4.2% of $82,634 |
| Accident, Critical Illness, Hospital Indemnity | Continental American Insurance Company | Emily Gibson | 97 | $1,966 2.4% of $82,634 |
| Accident, Critical Illness, Hospital Indemnity | Continental American Insurance Company | Kathleen John Anna Perry | 97 | $731 0.9% of $82,634 |
| Accident, Critical Illness, Hospital Indemnity | Continental American Insurance Company | Meghan Nicole Bausch | 97 | $672 0.8% of $82,634 |
| Accident, Critical Illness, Hospital Indemnity | Continental American Insurance Company | Smith Benefits Consulting Group | 97 | $349 0.4% of $82,634 |
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.