Loading employer…
Employer
100 Barr Harbor Drive, West Conshohocken, PA 19428 · EIN 23-1352024 · Jan 1, 2024 to Dec 31, 2024
Plan year 2024
View
Schedule A
Coverage contracts on the filing. If the carrier did not provide Schedule A, the row is listed with that note.
Visible subtotal $85,037
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Aetna Life Insurance Co. | — | 614 | Comp not disclosed Premium $6,338,680 |
| Dental | Delta Dental Of Pennsylvania | Tompkins Insurance | 614 | $25,335 10.0% of $253,345 |
| Vision | Vision Service Plan | Tompkins Ins Agency | 298 | $1,469 4.5% of $32,786 |
| Life | Hartford Life & Accident Insurance | Tompkins Insurance | 405 | $41,783 14.9% of $280,378 |
| Life | Hartford Life & Accident Insurance | James R Nelligan & Associates | 405 | $13,703 4.9% of $280,378 |
| AD&D | Federal Insurance Company | — | — | Schedule A not provided |
| Agb Worldtraveler | Aetna International | — | 72 | Schedule A not provided |
| EAP | Matrix Integrated Psychological Services And Employee Assistance Progr | — | — | Schedule A not provided |
| Disability | Provident Life And Accident Insurance Company | Tompkins Insurance | 47 | $1,958 6.7% of $29,073 |
| Disability | Provident Life And Accident Insurance Company | Tompkins Ins Agency | 1 | $142 12.2% of $1,163 |
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 $181,687
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Tompkins Insurance Agencies Inc. | Broker | $166,603 | $271.34 |
| Health Equity | Admin | $10,125 | $16.49 |
| The Hartford | Admin | $4,959 | $8.08 |