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Employer
23 North Seventh Street, Bally, PA 19503 · EIN 23-0382380 · May 1, 2024 to Apr 30, 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 $87,064
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Dental | Aetna Life Insurance Company | Cbiz Benefits & Ins. Services | 45 | $925 9.1% of $10,169 |
| Dental | National Guardian Life Insurance Company | Cbiz Benefits & Ins. Services | 255 | $3,225 3.7% of $87,906 |
| Life | Unum Life Insurance Company Of America | Cbiz Benefits & Ins. Services | 242 | $12,779 9.6% of $133,085 |
| Life | Unum Life Insurance Company Of America | Cbiz Benefits & Ins. Services | 56 | $2,903 13.5% of $21,469 |
| Life | Unum Life Insurance Company Of America | Premier Worksite Solutions LLC | 56 | $948 4.4% of $21,469 |
| Life | Provident Life And Accident Insurance Company | Premier Worksite Solutions LLC | 1052 | $5,396 12.8% of $42,019 |
| Life | Provident Life And Accident Insurance Company | Cbiz Benefits & Ins. Services | 1052 | $3,717 8.8% of $42,019 |
| Critical Illness, Accident | Unum Life Insurance Company Of America | Premier Worksite Solutions LLC | 156 | $7,583 19.1% of $39,737 |
| Critical Illness, Accident | Unum Life Insurance Company Of America | Cbiz Benefits & Ins. Services | 156 | $5,274 13.3% of $39,737 |
| Other | Unum Life Insurance Company Of America | Cbiz Benefits & Ins. Services | 59 | $2,103 10.3% of $20,401 |
| Other | Unum Life Insurance Company Of America | Premier Worksite Solutions LLC | 59 | $795 3.9% of $20,401 |
| Dental | Aetna Life Insurance Company | Cbiz Benefits & Ins. Services | 49 | $807 7.8% of $10,373 |
| Dental | National Guardian Life Insurance Company | Cbiz Benefits & Ins. Services | 271 | $3,444 4.0% of $86,101 |
| Life | Unum Life Insurance Company Of America | Cbiz Benefits & Ins. Services | 243 | $8,751 7.0% of $124,214 |
| Life | Unum Life Insurance Company Of America | Cbiz Benefits & Ins. Services | 50 | $2,641 12.0% of $21,956 |
| Life | Unum Life Insurance Company Of America | Premier Worksite Solutions LLC | 50 | $985 4.5% of $21,956 |
| Life | Provident Life And Accident Insurance Company | Premier Worksite Solutions LLC | 110 | $9,497 19.8% of $48,052 |
| Life | Provident Life And Accident Insurance Company | Cbiz Benefits & Ins. Services | 110 | $6,599 13.7% of $48,052 |
| Critical Illness, Accident | Unum Life Insurance Company Of America | Premier Worksite Solutions LLC | 154 | $3,149 8.1% of $38,939 |
| Critical Illness, Accident | Unum Life Insurance Company Of America | Cbiz Benefits & Ins. Services | 154 | $2,154 5.5% of $38,939 |
| Other | Unum Life Insurance Company Of America | Cbiz Benefits & Ins. Services | 55 | $2,459 12.6% of $19,551 |
| Other | Unum Life Insurance Company Of America | Premier Worksite Solutions LLC | 55 | $930 4.8% of $19,551 |
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.