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Employer
1373 Enterprise Drive, West Chester, PA 19380 · EIN 23-2015935 · 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 $319,211
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Independence Blue Cross | Mercer | 7062 | Comp not disclosed Premium $49,834,163 |
| Medical | Magellen Health | Magellan Health Services Inc. | 4554 | Comp not disclosed Premium $149,072 |
| Medical | United Healthcare | Mercer (Us), Inc. | 6 | $3,929 10.6% of $37,050 |
| Dental | United Concordia Companies, Inc. | Lehigh Valley Business Coalition | 7062 | $2,824 1.6% of $177,779 |
| Vision | Independence Blue Cross | Mercer | 7062 | Comp not disclosed Premium $267,899 |
| Accident | American Heritage Life Insurance Company | Mercer H&B Admin LLC | 808 | $29,828 15.6% of $191,031 |
| Critical Illness | American Heritage Life Insurance Company | Mercer H&B Admin LLC | 906 | $60,030 19.6% of $305,914 |
| Agb Worldtraveler | Aetna International | Mercer (Us), Inc. | 93 | Comp not disclosed Premium $5,676 |
| Life-Btrm | Hartford Life And Accident | Mercer Human Resource Consulting In | 7687 | Comp not disclosed Premium $558,954 |
| Life-Sdep | Hartford Life And Accident | Mercer Human Resource Consulting In | 713 | Comp not disclosed Premium $80,910 |
| Life-Vol | Hartford Life And Accident | Mercer (Us), Inc. | 1266 | Comp not disclosed Premium $574,740 |
| Other | Cvs Pharmacy, Inc. | Mercer | 8709 | $96,319 0.6% of $15,162,314 |
| Ltd-Abil | Hartford Life And Accident | Mercer (Us), Inc. | 1256 | Comp not disclosed Premium $827,370 |
| Accidental Death & Dismemberment | Hartford Life And Accident | Mercer (Us), Inc. | 7687 | Comp not disclosed Premium $90,662 |
| Stop Loss Specific Only | Sun Life Assurance Company Of Canada | Mercer (Us), Inc. | 4585 | $126,281 8.4% of $1,506,857 |
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.