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Employer
200 Energy Way, Kennett Square, PA 19348 · EIN 23-3064219 · 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 $795,964
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Other | Hartford Life And Accident | Strategic Non-Medical Solutions LLC | 12398 | $227,356 2.6% of $8,713,108 |
| Legal | Arag Insurance Company | Beneplace Inc | 7372 | $67,205 10.0% of $672,040 |
| Medical | Cigna Health And Life Insurance Company | — | 40 | Comp not disclosed Premium $11,706 |
| Medical | Health Care Service Corporation | Willis Towers Watson Us LLC | 41094 | $30,000 |
| Medical | Cigna | — | 1039 | Comp not disclosed Premium $281,303 |
| Medical | Humana | — | 1 | Comp not disclosed Premium $3,966 |
| Medical | Humana | — | 7 | Comp not disclosed Premium $28,779 |
| Medical | Humana | — | 2046 | Comp not disclosed Premium $7,938,027 |
| Medical | Humana | — | 578 | Comp not disclosed Premium $2,214,745 |
| Life | Hartford Life And Accident | Strategic Non-Medical Solutions LLC | 59358 | $443,105 2.7% of $16,401,714 |
| Accidental Death And Dismemberment | Hartford Life And Accident | Strategic Non-Medical Solutions LLC | 5845 | $28,298 2.9% of $962,390 |
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 $16,082,368
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Health Care Service Corp | Contract Adminstrator | $483,313 | $352.53 |
| Alight Solutions LLC | Contract Administrator | $123,613 | $90.16 |
| Optumrx | Contract Administrator | $103,551 | $75.53 |
| The Northern Trust Company | Trustee/Custodian | $88,106 | $64.26 |
| Constellation Energy Generation LLC | Administrator | $77,313 | $56.39 |
| Willis Towers Watson | Actuary | $52,874 | $38.57 |
| Nisa Investment Advisors LLC | Investment Manager | $45,617 | $33.27 |
| Cigna Health And Life Insurance Com | Contract Adminstrator | $30,329 | $22.12 |
| Mitchell & Titus | Auditor | $19,725 | $14.39 |
| Segall Bryant & Hamill Inv. Counsel | Investment Management | $17,679 | $12.89 |
| New York Life Insurance Company | Investment Manager | $7,207 | $5.26 |
| Mellon Capital Management Corp | Investment Manager | $6,905 | $5.04 |
| Caissa, LLC | Other | $5,038 | $3.67 |
| Alight Solutions | Contract Administrator | $850,234 | $124.25 |
| Willis Towers Watson Us LLC | Actuarial Services | $175,650 | $25.67 |
| Northwest Plan Services Inc | Contract Administrator | $95,633 | $13.98 |
| Mitchell & Titus | Auditor | $13,248 | $1.94 |
| Health Care Service Corporation | Contract Administrator | $8,198,822 | $199.51 |
| Alight Solutions LLC | Contract Administrator | $2,109,848 | $51.34 |
| Optumrx | Contract Administrator | $562,613 | $13.69 |
| Constellation Energy Generation LLC | Administrator | $460,759 | $11.21 |
| United Behavioral Health | Contract Administrator | $394,370 | $9.60 |
| The Norhtern Trust Company | Trustree/Custodian | $379,315 | $9.23 |
| Cigna Health And Life Insurance Com | Contract Administrator | $362,213 | $8.81 |
| Willis Towers Watson Us LLC | Actuary | $212,845 | $5.18 |
| Harding Loevner Lp | Investment Manager | $207,183 | $5.04 |
| Healthequity, Inc. | Contract Administrator | $137,565 | $3.35 |
| Mdx Medical Inc | Contract Administrator | $132,229 | $3.22 |
| Nrac LLC | Contract Administrator | $109,253 | $2.66 |
| Mitchell & Titus | Auditor | $97,192 | $2.37 |
| New York Life Insurance Company | Investment Manager | $83,821 | $2.04 |
| First American Administrators Inc | Contract Administrator | $61,391 | $1.49 |
| Acadian Asset Management, LLC | Investment Manager | $49,228 | $1.20 |
| Segall Bryant & Hamill, LLC | Investment Manager | $39,323 | $0.96 |
| Earnest Partners LLC | Investment Manager | $38,890 | $0.95 |
| Brown Capital Management, LLC | Investment Manager | $35,164 | $0.86 |
| Albourne America LLC | Investment Manager | $34,382 | $0.84 |
| Allsup Inc | Contract Administrator | $21,000 | $0.51 |
| Caissa, LLC | Other | $20,893 | $0.51 |
| Blackrock Institutional Trust Co. | Investment Manager | $12,909 | $0.31 |
| Northwest Plan Services Inc | Contract Administrator | $7,604 | $0.19 |
| Sculptor Real Eastate | Investment Manager | $7,507 | $0.18 |
| Security Capital Research & Managem | Investment Manager | $6 | $0.00 |
| The Northern Trust Company | Trustee/Custodian | $20,175 | $13.86 |
| The Northern Trust Company | Trustee/Custodian | $36,359 | $0.61 |
| Mitchell & Titus | Auditor | $30,617 | $0.52 |
| Constellation Energy Generation LLC | Administrator | $11,025 | $0.19 |
| Segall, Bryant & Hamill | Investment Manager | $9,584 | $0.16 |
| Blackrock Institutional Trust Co. | Investment Manager | $2,248 | $0.04 |