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Employer
2393 Kimberton Road, Kimberton, PA 19442 · EIN 01-0591714 · Jun 1, 2024 to May 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 $53,916
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Equitable Financial Life Insurance Company Of America | Brown Brown Insurance Services, Inc | 36 | $2,291 17.9% of $12,788 |
| Medical | Equitable Financial Life Insurance Company Of America | Brown & Brown Of Pennsylvania | 36 | $917 7.2% of $12,788 |
| Medical | Independence Administrators | — | 154 | Comp not disclosed |
| Dental | Delta Dental Of Pennsylvania | Brown & Brown Of Pennsylvania | 400 | $12,311 10.0% of $123,111 |
| Vision | Eyemed Vision Care | Brown & Brown DBA Alpha Benefits | 382 | $2,165 8.2% of $26,563 |
| Life | Metropolitan Life Insurance Company | Brown & Brown Insurance Services In | 339 | $16,114 9.0% of $179,533 |
| Life | Metropolitan Life Insurance Company | Brown & Brown Of Pennsylvania | 339 | $10,302 5.7% of $179,533 |
| Life | Metropolitan Life Insurance Company | Strategic Non-Medical Solutions LLC | 339 | $6,755 3.8% of $179,533 |
| Life | Metropolitan Life Insurance Company | Brown & Brown Of Pennsylvania | 339 | $1,947 1.1% of $179,533 |
| Legal | Legalease | Brown & Brown Of Pennsylvania | 30 | $1,114 20.0% of $5,570 |
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.
Visible subtotal $-49,492
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Highmark Inc. | Admin | $-49,492 | $-123.73 |