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Employer
201 W. Church Road, King Of Prussia, PA 19406 · EIN 23-1879041 · Aug 1, 2024 to Jul 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 $256,215
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Independence Administrators | Independence Administrators (Ia) | 378 | $65,380 33.3% of $196,280 |
| Stop-loss | HM Insurance Group | Assured Partners (Central Pa) | 377 | $134,702 20.0% of $673,508 |
| Dental | Guardian | Assured Partners (Central Pa) | 376 | $8,543 3.7% of $228,723 |
| Vision | National Vision Administrators, LLC | Assuredpartners Capital, Inc. | 339 | $2,509 10.0% of $25,087 |
| Life | Standard Insurance Company | Assured Partners (Central Pa) | 501 | $6,439 6.7% of $96,352 |
| Life | Standard Insurance Company | Accretive Enrollment Services, LLC | 501 | $5,791 6.0% of $96,352 |
| Other | Standard Insurance Company | Accretive Enrollment Services, LLC | 127 | $4,126 6.2% of $66,739 |
| Other | Standard Insurance Company | Assured Partners (Central Pa) | 127 | $2,609 3.9% of $66,739 |
| Other | Standard Insurance Company | Assuredpartners Nl LLC | 127 | $1,666 2.5% of $66,739 |
| Other | Standard Insurance Company | Assured Partners (Central Pa) | 159 | $6,301 9.8% of $64,486 |
| Other | Standard Insurance Company | Accretive Enrollment Services, LLC | 159 | $5,833 9.0% of $64,486 |
| Other | Standard Insurance Company | Assured Partners (Central Pa) | 174 | $6,389 9.6% of $66,743 |
| Other | Standard Insurance Company | Accretive Enrollment Services, LLC | 174 | $5,927 8.9% of $66,743 |
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 $18,357
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Inspira Financial | Fsa/Hsa Fees | $18,357 | $36.64 |