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Employer
50 Applied Bank Boulevard, Glen Mills, PA 19342 · EIN 61-1682102 · Jan 1, 2025 to Dec 31, 2025
Plan year 2025
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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 $504,584
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Vision | Fidelity Security Life Insurance Company | — | 4854 | Comp not disclosed Premium $356,092 |
| Life | Prudential Insurance Company Of America | Mercer (Us), Inc. | 3102 | $384,253 13.1% of $2,935,661 |
| Legal | Metlife Legal Plans | Assured Partners (Central Pa) | 321 | $7,414 88.8% of $8,346 |
| Legal | Metlife Legal Plans | Crawford Advisors, LLC | 321 | $428 5.1% of $8,346 |
| Legal | Metlife Legal Plans | Assured Partners (Central Pa) | 321 | $116 1.4% of $8,346 |
| Legal | Metlife Legal Plans | Assured Partners (Central Pa) | 321 | $8 0.1% of $8,346 |
| Business Travel Accident | Ace American Insurance Company | Mercer (Us), Inc. | 3086 | $4,049 25.0% of $16,196 |
| Accident | Cigna Health And Life Insurance Company | Mercer Health & Benefits, LLC | 857 | $22,767 21.5% of $106,082 |
| Accident | Cigna Health And Life Insurance Company | Assured Partners (Central Pa) | 857 | $2,936 2.8% of $106,082 |
| Critical Illness | Cigna Health And Life Insurance Company | Mercer Health & Benefits, LLC | 495 | $41,091 20.1% of $204,031 |
| Critical Illness | Cigna Health And Life Insurance Company | Assured Partners (Central Pa) | 495 | $5,617 2.8% of $204,031 |
| Hospital Indemnity | Cigna Health And Life Insurance Company | Mercer Health & Benefits, LLC | 511 | $32,023 22.9% of $139,869 |
| Hospital Indemnity | Cigna Health And Life Insurance Company | Assured Partners (Central Pa) | 511 | $3,882 2.8% of $139,869 |
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.