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Employer
4322 North 5th Street, Philadelphia, PA 19140 · EIN 23-1712664 · Sep 1, 2023 to Aug 31, 2024
Plan year 2023
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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 $92,255
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Dental | The Lincoln National Life Insurance Company | Zain Syed Hasan | 340 | $64,180 17.3% of $371,095 |
| Dental | The Lincoln National Life Insurance Company | Professional Group Plans, Inc. | 340 | $23,253 6.3% of $371,095 |
| Vision | Metropolitan Life Insurance Company | — | 554 | Comp not disclosed Premium $22,188 |
| Life | Aflac | Brian M Denoia | 50 | $2,638 8.7% of $30,354 |
| Life | Aflac | Jose A Schieneman & Various Agents | 50 | $700 2.3% of $30,354 |
| Life | Aflac | Christopher J Burris | 50 | $402 1.3% of $30,354 |
| Life | Aflac | Caesar D Williams Jr | 50 | $239 0.8% of $30,354 |
| Life | Aflac | Robert Torres | 50 | $154 0.5% of $30,354 |
| Life | Aflac | Cecilia K Williams | 50 | $151 0.5% of $30,354 |
| Life | Aflac | Supplemental Benefits Group Of Pa | 50 | $129 0.4% of $30,354 |
| Legal | Pre-Paid Legal Services Inc. DBA Legalshield | Brian A Martinez | 20 | $157 4.4% of $3,594 |
| Legal | Pre-Paid Legal Services Inc. DBA Legalshield | Michael S Schwartz | 20 | $116 3.2% of $3,594 |
| Legal | Pre-Paid Legal Services Inc. DBA Legalshield | Worry Free Live More, LLC | 20 | $105 2.9% of $3,594 |
| Legal | Pre-Paid Legal Services Inc. DBA Legalshield | Lesly Marcelin | 20 | $31 0.9% of $3,594 |
| Other | Navitus Health Solutions | — | 565 | Comp not disclosed Premium $699,349 |
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.