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Employer
1650 Arch Street, Philadelphia, PA 19103 · EIN 23-1713492 · Aug 1, 2024 to Jul 31, 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 $87,641
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Independence Blue Cross | Emerson Rogers LLC | 170 | $44,953 2.3% of $1,969,146 |
| Medical | Independence Blue Cross | Assured Partners (Central Pa) | 170 | $14,951 0.8% of $1,969,146 |
| Dental | United Concordia Insurance Company | Emerson Rogers LLC | 167 | $15,171 11.0% of $138,066 |
| Dental | United Concordia Insurance Company | Cbiz Benefits & Ins. Services | 167 | $2,439 1.8% of $138,066 |
| Vision | Unitedhealthcare Insurance Company | Cbiz Benefits & Ins. Services | 349 | $596 4.5% of $13,216 |
| Vision | Unitedhealthcare Insurance Company | Assured Partners (Central Pa) | 349 | $197 1.5% of $13,216 |
| Life | Standard Insurance Company | Cbiz Benefits & Ins. Services | 218 | $5,814 7.7% of $75,599 |
| Life | Standard Insurance Company | Assured Partners (Central Pa) | 218 | $287 0.4% of $75,599 |
| Life | Standard Insurance Company | Cbiz Benefits & Ins. Services | 218 | $1,679 2.2% of $75,599 |
| Accident | The Guardian Life Insurance Company Of America | Cbiz Benefits & Ins. Services | 28 | $1,319 18.7% of $7,062 |
| Accident | The Guardian Life Insurance Company Of America | Assured Partners (Central Pa) | 28 | $234 3.3% of $7,062 |
| Accident | The Guardian Life Insurance Company Of America | Financial Balance Group, LLC | 28 | $1 0.0% of $7,062 |
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.