Loading employer…
Employer
1424 Chestnut St, Philadelphia, PA 19102 · EIN 23-1671562 · Jan 1, 2024 to Dec 31, 2024
Plan year 2024
View
Schedule A
Coverage contracts on the filing. If the carrier did not provide Schedule A, the row is listed with that note.
Visible subtotal $36,693
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Optum Health Unimerica Insurance Company | — | 184 | Comp not disclosed Premium $1,011,528 |
| Dental | Guardian Life Insurance Company | Donald C Savoy Inc | 136 | $15,565 11.4% of $136,629 |
| Life | The Lincoln National Life Insurance Company | Patriot (Exude, Inc.) | 206 | $3,746 9.6% of $39,157 |
| Life | The Lincoln National Life Insurance Company | Patriot Growth Ins Services LLC | 206 | $2,128 5.4% of $39,157 |
| Other | The Lincoln National Life Insurance Company | Patriot (Exude, Inc.) | 206 | $3,806 9.4% of $40,285 |
| Other | The Lincoln National Life Insurance Company | Patriot Growth Ins Services LLC | 206 | $2,237 5.6% of $40,285 |
| Other | The Lincoln National Life Insurance Company | Patriot (Exude, Inc.) | 206 | $5,718 9.3% of $61,406 |
| Other | The Lincoln National Life Insurance Company | Patriot Growth Ins Services LLC | 206 | $3,493 5.7% of $61,406 |
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 $264,580
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Patriot (Exude, Inc.) | Broker | $90,218 | $490.32 |
| The Benecon Group | Broker | $44,591 | $242.34 |
| Umr | Admin | $117,953 | $641.05 |
| ConnectCare3 | Patient Advocate | $11,818 | $64.23 |