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Employer
824 Twelfth Avenue, Bethlehem, PA 18018 · EIN 23-2116774 · 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 $269,151
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Kaiser Foundation Health Plan, Inc. | — | 1919 | Comp not disclosed Premium $12,566,847 |
| Medical | Cigna Health And Life Insurance Company And Affiliates | — | 1161 | Comp not disclosed Premium $218,701 |
| Medical | Kaiser Foundation Health Plan, Inc. | — | 43 | Comp not disclosed Premium $277,219 |
| Life | Reliastar Life Insurance Company | Aon Consulting, Inc. | 8516 | $112,553 5.7% of $1,984,470 |
| Life | Reliastar Life Insurance Company | Bswift, LLC | 8516 | $39,689 2.0% of $1,984,470 |
| Life | Reliastar Life Insurance Company | Aon Consulting, Inc. | 8516 | $39,250 2.0% of $1,984,470 |
| Other | Provident Life And Accident Insurance Company | Captrust Financial Advisors | 11 | $2,625 13.3% of $19,673 |
| Other | Provident Life And Accident Insurance Company | M Financial Holdings Inc | 11 | $268 1.4% of $19,673 |
| Other | Provident Life And Accident Insurance Company | Captrust Financial Advisors | 11 | $-2 0.0% of $19,673 |
| Employee Assistance Program | Carebridge Corporation | — | 5761 | Comp not disclosed Premium $91,463 |
| Other | Hartford Life And Accident | Aon Consulting, Inc. | 5533 | $55,865 6.1% of $912,170 |
| Other | Hartford Life And Accident | Brown & Brown Insurance Srvs, Inc | 5533 | $13,044 1.4% of $912,170 |
| Other | Hartford Life And Accident | Brown & Brown Ins Of Nv | 5533 | $4,391 0.5% of $912,170 |
| Other | Hartford Life And Accident | Aon Risk Service Central, Inc. | 5533 | $1,468 0.2% of $912,170 |
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.