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Employer
980 Jolly Road, Blue Bell, PA 19422 · EIN 42-1724313 · Jan 1, 2024 to Dec 31, 2024
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 $778,634
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Sun Life Assurance Company Of Canada | Assured Partners (Central Pa) | 4179 | $231,585 10.0% of $2,304,990 |
| Stop-loss | Sun Life Assurance Company Of Canada | Assured Partners (Central Pa) | 4179 | $115,793 5.0% of $2,304,990 |
| Medical | Hawaii Medical Service Association | — | 250 | Comp not disclosed Premium $2,036,488 |
| Medical | Kaiser Foundation Health Plan, Inc. | — | 636 | Comp not disclosed Premium $4,153,683 |
| Medical | Kaiser Foundation Health Plan, Inc. | — | 457 | Comp not disclosed Premium $3,175,486 |
| Vision | Eyemed Vision Care | — | 14 | Comp not disclosed Premium $149,076 |
| Vision | Eyemed Vision Care | Assured Partners (Central Pa) | 1932 | $31,248 9.2% of $337,882 |
| Vision | Vision Service Plan | Assured Partners (Central Pa) | 1643 | $36,873 10.1% of $364,114 |
| Life | Metropolitan Life Insurance Company | Assured Partners (Central Pa) | 17592 | $38,152 2.4% of $1,558,395 |
| Accident, Critical Illness, Ace Hip | Combined Insurance Company Of America | Assured Partners (Central Pa) | 5195 | $208,246 19.2% of $1,083,200 |
| Accident, Critical Illness, Ace Hip | Combined Insurance Company Of America | Robyn L Piper | 5195 | $58,988 5.4% of $1,083,200 |
| Accident, Critical Illness, Ace Hip | Combined Insurance Company Of America | Brown And Brown Ins Of Nv Inc. | 5195 | $11,762 1.1% of $1,083,200 |
| Accident, Critical Illness, Ace Hip | Combined Insurance Company Of America | Assured Partners | 5195 | $2,175 0.2% of $1,083,200 |
| Accident, Critical Illness, Ace Hip | Combined Insurance Company Of America | Eoi Service Company LLC | 5195 | $251 0.0% of $1,083,200 |
| EAP | Health Management Systems Of America | — | 19599 | Comp not disclosed Premium $105,350 |
| Legal | Metlife Legal Plans | Assured Partners (Central Pa) | 317 | $5,537 17.3% of $32,095 |
| Legal | Metlife Legal Plans | Bswift, LLC | 317 | $859 2.7% of $32,095 |
| Legal | Metlife Legal Plans | Assured Partners (Central Pa) | 317 | $280 0.9% of $32,095 |
| Legal | Metlife Legal Plans | Crawford Advisors LLC | 317 | $36 0.1% of $32,095 |
| Legal | Metropolitan General Insurance Company | Assured Partners (Central Pa) | 304 | $2,652 20.0% of $13,255 |
| Legal | Metropolitan General Insurance Company | Bswift, LLC | 304 | $423 3.2% of $13,255 |
| Legal | Metropolitan General Insurance Company | Assured Partners (Central Pa) | 304 | $186 1.4% of $13,255 |
| Legal | Metropolitan General Insurance Company | Crawford Advisors LLC | 304 | $36 0.3% of $13,255 |
| Other | Reliance Standard Life Insurance Company | Assured Partners (Central Pa) | 4000 | $33,552 13.0% of $258,091 |
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.