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Employer
1 West Elm Street, Suite 200, Conshohocken, PA 19428 · EIN 23-3016018 · 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 $76,494
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Kaiser Foundation Health Plan, Inc. | Usi Insurance Services (Ri) | 10 | $2,278 2.7% of $84,201 |
| Medical | Kaiser Foundation Health Plan, Inc. | Nfp Corporate Services (Se) Inc | 10 | $1,786 2.1% of $84,201 |
| Medical | Cigna Health And Life Insurance Company | — | — | Schedule A not provided |
| Vision | Vision Service Plan | Usi Insurance Services (Ri) | 742 | $8,542 5.8% of $146,336 |
| Vision | Vision Service Plan | Nfp Corporate Services (Se) Inc | 742 | $6,074 4.2% of $146,336 |
| Life | Unum Life Insurance Company Of America | Usi Insurance Services (Ri) | 872 | $17,026 4.9% of $346,103 |
| Life | Unum Life Insurance Company Of America | The Meltzer Group | 872 | $11,686 3.4% of $346,103 |
| Critical Illness | Cigna Health And Life Insurance Company | — | — | Schedule A not provided |
| Business Travel Accident | Hartford Fire Insurance Company | — | — | Schedule A not provided |
| Business Travel Accident | Hartford Fire Insurance Company | — | — | Schedule A not provided |
| Other | Unum Life Insurance Company Of America | Usi Insurance Services (Ri) | 872 | $15,446 7.7% of $201,134 |
| Other | Unum Life Insurance Company Of America | The Meltzer Group | 872 | $10,192 5.1% of $201,134 |
| Other | Unum Life Insurance Company Of America | Usi Insurance Services (Ri) | 15 | $883 12.3% of $7,150 |
| Other | Unum Life Insurance Company Of America | Nfp Coprorate Services (Se), Inc. | 15 | $313 4.4% of $7,150 |
| Employee Assistance Program | Aetna Behavioral Health, LLC | — | — | Comp not disclosed |
| Legal | Metlife Legal Plans | — | 160 | Comp not disclosed Premium $43,073 |
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.