Employer
Chickie'S And Pete'S
489 Bristol Pike, Bensalem, PA 19020 · EIN 23-2979978 · Mar 1, 2025 to Feb 28, 2026
Plan year 2025
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Schedule A
Direct compensation
Coverage contracts on the filing. If the carrier did not provide Schedule A, the row is listed with that note.
Visible subtotal $106,901
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Independence Blue Cross | Kistler Tiffany Benefits Co | 91 | $39,788 6.6% of $602,771 |
| Medical | Keystone Healthplan East | Kistler Tiffany Benefits Co | 55 | $46,893 11.5% of $407,264 |
| Dental | United Concordia Insurance Company | Kistler Tiffany Benefits Co | 181 | $3,960 6.6% of $60,062 |
| Life | The Guardian Life Insurance Company Of America | Digital Insurance, Inc. | 97 | $11,291 14.5% of $77,969 |
| Life | The Guardian Life Insurance Company Of America | Amerihealth Administrators, Inc. | 97 | $2,339 3.0% of $77,969 |
| Life | The Guardian Life Insurance Company Of America | Kistler Tiffany Benefits Co | 97 | $2,630 3.4% of $77,969 |
Schedule C
Additional compensation
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.