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Employer
123 South Broad Street, Philadelphia, PA 19109 · EIN 23-1352104 · 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 $54,667
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Independence Blue Cross - Keystone | Nfp Corporate Services (Pa), Inc. | 57 | $8,604 3.4% of $256,124 |
| Medical | Independence Blue Cross - Personal Choice | Nfp Corporate Services (Pa), Inc. | 50 | $22,057 4.2% of $523,223 |
| Dental | Delta Dental Of Pennsylvania | Nfp Corporate Services (Pa), Inc. | 111 | $5,078 10.0% of $50,781 |
| Vision | Vision Benefits Of America | Nfp Corporate Services (Pa), Inc. | 42 | $712 10.0% of $7,117 |
| Life | Life Insurance Company Of North America | Nfp Corporate Services (Pa), Inc. | 130 | $2,529 12.0% of $21,154 |
| Life | Life Insurance Company Of North America | Nfp Corporate Services (Pa), Inc. | 28 | $4,784 49.9% of $9,589 |
| AD&D | Life Insurance Company Of North America | Nfp Corporate Services (Pa), Inc. | 134 | $455 12.0% of $3,798 |
| Other | Life Insurance Company Of North America | Nfp Corporate Services (Pa), Inc. | 130 | $5,037 17.9% of $28,124 |
| Other | Life Insurance Company Of North America | Nfp Corporate Services (Pa), Inc. | 130 | $43 0.1% of $47,968 |
| Hospital Ee Paid | Unum Insurance Company | Nfp Corporate Services (Pa), Inc. | 23 | $1,651 18.4% of $8,966 |
| Grp Accident | Unum Insurance Company | Nfp Corporate Services (Pa), Inc. | 34 | $1,867 18.2% of $10,235 |
| Attained Age Critical Illness | Unum Insurance Company | Nfp Corporate Services (Pa), Inc. | 23 | $1,850 18.1% of $10,244 |
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.