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Employer
436 Walnut Street, Philadelphia, PA 19106 · EIN 58-2457246 · Jan 1, 2024 to Dec 31, 2024
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 $2,047,700
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Unitedhealthcare Insurance Company | Hub International | 207 | $95,663 7.1% of $1,348,175 |
| Medical | Unitedhealthcare Insurance Company | Hub International | 207 | $27,781 2.1% of $1,348,175 |
| Medical | Mcs Life Insurance Company | Fulcro Insurance Inc | 90 | $32,989 5.4% of $605,856 |
| Medical | Mcs Life Insurance Company | Caparra Office Center, Suite 200 | 90 | $2,999 0.5% of $605,856 |
| Medical | Kaiser Foundation Health Plan, Inc. | Mercer (Us), Inc. | 141 | $23,173 2.5% of $916,754 |
| Medical | Kaiser Foundation Health Plan, Inc. | Mercer Health & Benefits, LLC | 3 | $1,279 3.6% of $35,815 |
| Medical | Kaiser Foundation Health Plan, Inc. | Mercer (Us), Inc. | 164 | $31,418 2.6% of $1,210,105 |
| Dental | Aetna Life Insurance Co | Mercer (Us), Inc. | 4256 | $13,886 1.6% of $849,199 |
| Vision | Combined Insurance Company Of America | Mercer (Us), Inc. | 22156 | $150,646 5.1% of $2,968,876 |
| Life | Prudential Insurance Company Of America | Lockton Companies, LLC | 34775 | $513,268 5.5% of $9,267,286 |
| Life | Prudential Insurance Company Of America | Img | 34775 | $3,353 0.0% of $9,267,286 |
| Other | Life Insurance Company Of North America | Marsh & Mclennan Agency, LLC East | 3 | $33 4.9% of $671 |
| Other | Life Insurance Company Of North America | Marsh & Mclennan Agency, LLC East | 2889 | $26,765 2.6% of $1,016,864 |
| Paid Family Leave | New York Life Group Insurance Company Of New York | Marsh & Mclennan Agency, LLC East | 1143 | $21,837 4.9% of $442,021 |
| Legal | Metlife Legal Plans | Mercer Health & Benefits, LLC | 2074 | $40,697 10.0% of $408,639 |
| Legal | Metlife Legal Plans | Bswift, LLC | 2074 | $9,191 2.2% of $408,639 |
| Legal | Metlife Legal Plans | Mercer (Us), Inc. | 2074 | $7,325 1.8% of $408,639 |
| Legal | Metlife Legal Plans | Mercer (Us), Inc. | 2074 | $2 0.0% of $408,639 |
| Other | Life Insurance Company Of North America | Marsh & Mclennan Agency, LLC East | 15719 | $129,385 2.5% of $5,261,279 |
| Life Time Benefit Term Insurance | Combined Insurance | Eoi Service Company LLC | 646 | $314,492 35.4% of $889,175 |
| Life Time Benefit Term Insurance | Combined Insurance | Mercer Health & Benefits, LLC | 646 | $39,009 4.4% of $889,175 |
| Acc, Critical Illness, Cancer Advoc | Combined Insurance | Mercer Health & Benefits, LLC | 15225 | $562,509 7.3% of $7,744,912 |
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.