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Employer
254 S. Main Street, Ambler, PA 19002 · EIN 26-3945873 · Jul 1, 2024 to Jun 30, 2025
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 $23,891
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Dental | The Guardian Life Insurance Company Of America | James R Nelligan & Associates | 125 | $21,886 13.3% of $165,155 |
| Dental | The Guardian Life Insurance Company Of America | Amerihealth Administrators, Inc. | 125 | $1,807 1.1% of $165,155 |
| Vision | Independence Administrators (Ia) | — | — | Schedule A not provided |
| Life | American Heritage Life Insurance Company | Biddle Insurance Services Inc | 5 | $91 3.4% of $2,709 |
| Life | American Heritage Life Insurance Company | Kelly & Associates Insurance | 5 | $22 0.8% of $2,709 |
| Accident | American Heritage Life Insurance Company | Biddle Insurance Services Inc | 4 | $46 8.9% of $517 |
| Critical Illness | American Heritage Life Insurance Company | Biddle Insurance Services Inc | 2 | $39 7.1% of $552 |
| Stop-loss | HM Life Insurance Company | — | — | Comp not disclosed Premium $509 |
| Stop-loss | Sun Life Assurance Company Of Canada | — | 119 | Comp not disclosed Premium $732,143 |
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.
Visible subtotal $138,941
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Sterling Benefits, LLC | Broker | $86,760 | $667.38 |
| The Benecon Group, LLC | Broker | $24,283 | $186.79 |
| Independence Administrators (Ia) | Admin | $19,916 | $153.20 |
| ConnectCare3 | Patient Advocate | $7,982 | $61.40 |