Employer
Blank Rome LLP
One Logan Square, Philadelphia, PA 19103 · EIN 23-1311874 · Jan 1, 2025 to Dec 31, 2025
Plan year 2025
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Schedule A
Direct compensation
Coverage contracts on the filing. If the carrier did not provide Schedule A, the row is listed with that note.
Visible subtotal $108,307
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Hartford Life And Accident Insurance Company | Mercer (Us), Inc. | 8 | $2,357 6.9% of $34,379 |
| Dental | Cigna Health And Life Insurance Company And Affiliates | Mercer (Us), Inc. | 1720 | $22,662 3.0% of $761,521 |
| Vision | Vision Service Plan | — | 800 | Comp not disclosed Premium $88,725 |
| Life | Prudential Insurance Company Of America | Mercer (Us), Inc. | 1375 | $82,489 4.1% of $2,033,239 |
| Life | Prudential Insurance Company Of America | Img | 1375 | $299 0.0% of $2,033,239 |
| Other | Express Scripts, Inc. | Mercer (Us), Inc. | 8 | $500 1.8% of $27,458 |
Schedule C
Additional compensation
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.