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Employer
300 Conshohocken State Road, West Conshohocken, PA 19428 · EIN 62-1794543 · Jan 1, 2020 to Dec 31, 2020
Plan year 2020
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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 $32,154
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Kaiser Foundation Health Plan Of Washington | — | 15 | Comp not disclosed Premium $93,500 |
| Medical | Kaiser Foundation Health Plan Inc. | — | 1 | Comp not disclosed Premium $9,556 |
| Medical | Kaiser Foundation Health Plan Inc. | — | 2 | Comp not disclosed Premium $11,859 |
| Medical | Unitedhealthcare Insurance Company | — | 961 | Comp not disclosed Premium $7,656,556 |
| Dental | Metropolitan Life Insurance Company | Willis Towers Watson | 886 | $14,079 2.6% of $539,533 |
| Dental | Metropolitan Life Insurance Company | Willis Of Illinois Inc | 886 | $5,126 1.0% of $539,533 |
| Life | Unitedhealthcare Insurance Company | — | 723 | Comp not disclosed Premium $387,188 |
| Legal | Metlife Legal Plans | Willis Of Illinois Inc | 69 | $2,628 13.0% of $20,183 |
| Business Travel Accident | Federal Insurance Company | — | 960 | Comp not disclosed Premium $9,617 |
| Accident | Metropolitan Life Insurance Company | Willis Towers Watson | 308 | $6,757 19.2% of $35,158 |
| Accident | Metropolitan Life Insurance Company | Willis Of Illinois Inc | 308 | $3,198 9.1% of $35,158 |
| Accident | Metropolitan Life Insurance Company | Willis Of Ohio Inc | 308 | $366 1.0% of $35,158 |
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.