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Employer
531 Old Swede Road, Douglassville, PA 19518 · EIN 23-1872807 · Aug 1, 2024 to Jul 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 $60,311
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Transamerica Life Insurance Company | Marsh & Mclennan Agency, LLC East | 36 | $6,040 24.1% of $25,013 |
| Dental | Delta Dental Of Pennsylvania | Marsh & Mclennan Agency, LLC East | 373 | $16,132 12.0% of $134,571 |
| Vision | Metropolitan Life Insurance Company | William A Graham Company | 417 | $952 5.0% of $19,033 |
| Life | Life Insurance Company Of North America | The Graham Company | 268 | $6,785 15.0% of $45,235 |
| Life | Life Insurance Company Of North America | James R Nelligan & Associates | 268 | $2,258 5.0% of $45,235 |
| AD&D | Life Insurance Company Of North America | The Graham Company | 269 | $646 15.0% of $4,306 |
| AD&D | Life Insurance Company Of North America | James R Nelligan & Associates | 269 | $215 5.0% of $4,306 |
| Other | Life Insurance Company Of North America | The Graham Company | 194 | $13,524 15.0% of $90,163 |
| Other | Life Insurance Company Of North America | James R Nelligan & Associates | 194 | $4,508 5.0% of $90,163 |
| Other | Life Insurance Company Of North America | The Graham Company | 55 | $6,938 15.0% of $46,251 |
| Other | Life Insurance Company Of North America | James R Nelligan & Associates | 55 | $2,313 5.0% of $46,251 |
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.