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Employer
61 Wilmington West Chester Pike, Chadds Ford, PA 19317 · EIN 23-2430920 · Dec 1, 2024 to Nov 30, 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 $31,761
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Dental | Delta Dental Of Pennsylvania | Patriot (Exude, Inc.) | 220 | $7,803 10.0% of $78,027 |
| Dental | Delta Dental Of Pennsylvania | Patriot (Exude, Inc.) | 35 | $1,016 10.0% of $10,161 |
| Vision | Eyemed Vision Care | Patriot Growth Insurance Services L | 168 | $1,094 10.0% of $10,977 |
| Life | United Of Omaha Life Insurance Company | Patriot Growth Insurance Svcs LLC | 179 | $2,180 14.6% of $14,909 |
| Life | United Of Omaha Life Insurance Company | Donald C Savoy Inc. | 179 | $895 6.0% of $14,909 |
| Life | United Of Omaha Life Insurance Company | Gi George Parent Lp | 179 | $306 2.1% of $14,909 |
| AD&D | United Of Omaha Life Insurance Company | Patriot Growth Insurance Svcs LLC | 51 | $4,056 14.1% of $28,785 |
| AD&D | United Of Omaha Life Insurance Company | Donald C Savoy Inc. | 51 | $1,727 6.0% of $28,785 |
| AD&D | United Of Omaha Life Insurance Company | Gi George Parent | 51 | $523 1.8% of $28,785 |
| Other | United Of Omaha Life Insurance Company | Patriot Growth Insurance Svcs LLC | 179 | $5,675 14.5% of $39,236 |
| Other | United Of Omaha Life Insurance Company | Donald C Savoy Inc. | 179 | $2,354 6.0% of $39,236 |
| Other | United Of Omaha Life Insurance Company | Gi George Parent | 179 | $778 2.0% of $39,236 |
| Other | United Of Omaha Life Insurance Company | Patriot Growth Insurance Svcs LLC | 178 | $2,162 14.6% of $14,843 |
| Other | United Of Omaha Life Insurance Company | Donald C Savoy Inc. | 178 | $891 6.0% of $14,843 |
| Other | United Of Omaha Life Insurance Company | Gi Georfe Parent Lp | 178 | $301 2.0% of $14,843 |
| Stop-loss | HM Life Insurance Company | — | 121 | Comp not disclosed Premium $758,249 |
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 $255,832
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| The Benecon Group | Broker | $124,397 | $1,028.07 |
| Patriot (Exude, Inc.) | Broker | $54,978 | $454.36 |
| Meritain Health, An Aetna Company | Admin | $60,779 | $502.31 |
| Revivehealth, Inc. | Other | $15,678 | $129.57 |