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Employer
3520 Progress Drive, Suite C, Bensalem, PA 19020 · EIN 26-2151519 · Jan 1, 2024 to Dec 31, 2024
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 $61,746
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Independence Blue Cross | Kistler Tiffany Benefits Co | 79 | $44,112 5.6% of $790,926 |
| Dental | Metropolitan Life Insurance Company | Kistler Tiffany Benefits Co | 110 | $2,495 7.0% of $35,867 |
| Dental | Metropolitan Life Insurance Company | Onedigital Premier Services LLC | 110 | $2,027 5.7% of $35,867 |
| Life | Reliance Standard Life Insurance Company | Michael Troy | 90 | $1,440 5.1% of $28,418 |
| Life | Reliance Standard Life Insurance Company | Steven D Lucas Rhu | 90 | $1,260 4.4% of $28,418 |
| Life | Reliance Standard Life Insurance Company | William O Daggett Jr | 90 | $1,184 4.2% of $28,418 |
| Life | Reliance Standard Life Insurance Company | North American Benefits Co | 90 | $1,137 4.0% of $28,418 |
| Life | Reliance Standard Life Insurance Company | Kistler Tiffany Benefits Co | 90 | $568 2.0% of $28,418 |
| Other | Oneamerica | William O Daggett Jr | 75 | $1,475 5.0% of $29,502 |
| Other | Oneamerica | Michael Trpy | 75 | $1,416 4.8% of $29,502 |
| Other | Oneamerica | Steven D Lucas Rhu | 75 | $1,239 4.2% of $29,502 |
| Other | Oneamerica | North American Benefits Company | 75 | $2,508 8.5% of $29,502 |
| Other | Oneamerica | Kistler Tiffany Benefits Co | 75 | $885 3.0% of $29,502 |
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.