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Employer
2929 Walnut Street, Philadelphia, PA 19104 · EIN 23-0406815 · 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 $244,884
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Life | Symetra Life Insurance Company | Cbiz Benefits & Ins. Services | 77 | $7,576 5.0% of $151,508 |
| Life | Symetra Life Insurance Company | Cbiz Benefits & Ins. Services | 7 | $489 5.0% of $9,773 |
| Life | Symetra Life Insurance Company | Cbiz Benefits & Ins. Services | 4 | $207 5.0% of $4,139 |
| Life | Symetra Life Insurance Company | Cbiz Benefits & Ins. Services | 574 | $24,422 5.0% of $488,444 |
| Life | Symetra Life Insurance Company | Cbiz Benefits & Insurance Company | 311 | $14,409 5.0% of $288,170 |
| Life | Symetra Life Insurance Company | Cbiz Benefits & Ins. Services | 1011 | $40,345 5.0% of $806,890 |
| Life | Symetra Life Insurance Company | Cbiz Benefits & Insurance Company | 1126 | $49,091 5.0% of $981,817 |
| Life | Symetra Life Insurance Company | Cbiz Benefits & Ins. Services | 23 | $2,029 5.0% of $40,569 |
| Life | Symetra Life Insurance Company | Cbiz Benefits & Ins. Services | 510 | $21,769 5.0% of $435,373 |
| Life | Symetra Life Insurance Company | Cbiz Benefits & Ins. Services | 979 | $26,819 5.0% of $536,364 |
| Life | Symetra Life Insurance Company | Cbiz Benefits & Ins. Services | 22 | $1,663 5.0% of $33,257 |
| Life | Symetra Life Insurance Company | Cbiz Benefits & Ins. Services | 784 | $24,979 5.0% of $499,571 |
| Business Travel Accident | National Union Fire Ins. Co. Of Pittsburgh, Pa | Cbiz Benefits & Ins. Services | 5563 | Comp not disclosed |
| Business Travel Accident | National Union Fire Ins. Co. Of Pittsburgh, Pa | Cbiz Benefits & Ins. Services | 1011 | Comp not disclosed |
| Other | Symetra Life Insurance Company | Cbiz Benefits & Ins. Services | 2 | $307 13.3% of $2,307 |
| Other | Symetra Life Insurance Company | Cbiz Benefits & Ins. Services | 1 | $49 5.0% of $973 |
| Other | Symetra Life Insurance Company | Cbiz Benefits & Ins. Services | 534 | $30,640 10.1% of $302,303 |
| Other | Symetra Life Insurance Company | Cbiz Benefits & Ins. Services | 1 | $90 12.0% of $750 |
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.