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Employer
800 North York Road, Wareminster, PA 18974 · EIN 23-1624905 · Jun 1, 2024 to May 31, 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 $295,054
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Independence Blue Cross-Keystone | Flexible Benefits Plans LLC | 56 | $24,994 4.2% of $590,599 |
| Medical | Independence Blue Cross-Keystone | Kistler Tiffany Benefits Co | 56 | $8,266 1.4% of $590,599 |
| Medical | Independence Blue Cross - Ppo | Flexible Benefits Plans LLC | 24 | $11,039 6.1% of $182,034 |
| Medical | Independence Blue Cross - Ppo | Kistler Tiffany Benefits Co | 24 | $3,189 1.8% of $182,034 |
| Dental | United Concordia | Centerstone Ins And Financial Svcs | 22 | $387 12.8% of $3,014 |
| Dental | United Concordia | Kistler Tiffany Benefits Co | 22 | $73 2.4% of $3,014 |
| Dental | Delta Dental Of Pennsylvania | Allied Administrators Inc | 134 | $473 2.0% of $24,152 |
| Dental | Delta Dental Of Pennsylvania | Allied Administrators Inc | 42 | $464 13.9% of $3,343 |
| Vision | Independence Blue Cross - Vision | Flexible Benefits Plans LLC | 24 | $224,994 9986.4% of $2,253 |
| Vision | Independence Blue Cross - Vision | Kistler Tiffany Benefits Co | 24 | $102 4.5% of $2,253 |
| Life | United Of Omaha | Mcgriff Insurance Services Inc. | 113 | $8,557 20.4% of $42,030 |
| Life | United Of Omaha | Mcgriff Insurance Services Inc. | 57 | $944 15.0% of $6,292 |
| Life | United Of Omaha | Centerstone Ins And Financial Svcs | 57 | $315 5.0% of $6,292 |
| Other | United Of Omaha | Mcgriff Insurance Services Inc. | 113 | $5,586 16.1% of $34,748 |
| Other | United Of Omaha | Centerstone Ins And Financial Svcs | 113 | $1,737 5.0% of $34,748 |
| Other | Independence Blue Cross - Drug | Flexible Benefits Plans LLC | 24 | $847 1.2% of $69,528 |
| Other | Independence Blue Cross - Drug | Kistler Tiffany Benefits Co | 24 | $102 0.1% of $69,528 |
| Other | United Of Omaha | Mcgriff Insurance Services Inc. | 43 | $2,239 15.0% of $14,924 |
| Other | United Of Omaha | Centerstone Ins And Financial Svcs | 43 | $746 5.0% of $14,924 |
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.