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Employer
801 Market Street, 7th Floor, Philadelphia, PA 19107 · EIN 23-2766661 · Jan 1, 2025 to Dec 31, 2025
Plan year 2025
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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 $278,201
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Independence Blue Cross - Personal Choice | Nfp Corporate Services (Pa), Inc. | 274 | $66,956 2.7% of $2,512,923 |
| Medical | Aflac | Various Brokers - See Attached | 147 | $18,606 13.1% of $141,978 |
| Medical | Independence Blue Cross - Keystone | Nfp Corporate Services (Pa), Inc. | 754 | $160,442 2.8% of $5,676,176 |
| Dental | Delta Dental Of Pennsylvania | — | 1048 | Comp not disclosed Premium $463,724 |
| Vision | Vision Service Plan | Nfp Corporate Services (Pa), Inc. | 551 | $1,784 3.5% of $50,555 |
| Life | Hartford Life And Accident | Nfp Corporate Services (Pa), Inc. | 580 | $6,400 1.2% of $554,661 |
| Long Term Care | Lifesecure Insurance Company | — | — | Schedule A not provided |
| Long Term Care | Lifesecure Insurance Company | — | — | Schedule A not provided |
| Executive Ltd | Provident Life And Accident Insurance Company | Nfp Corporate Services (Pa), Inc. | 65 | $14,832 26.4% of $56,183 |
| Executive Ltd | Provident Life And Accident Insurance Company | Management Compensation Group/Nfp | 65 | $6,321 11.3% of $56,183 |
| Executive Ltd | Provident Life And Accident Insurance Company | Nfp Insurance Services, Inc | 65 | $2,646 4.7% of $56,183 |
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.