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Employer
1500 Liberty Ridge Drive, Chesterbrook, PA 19087 · EIN 84-3702824 · Oct 1, 2024 to Sep 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 $225,856
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Independence Blue Cross | Emerson Rogers LLC | 434 | $143,973 4.7% of $3,072,864 |
| Dental | Starmount Life Insurance Company | Lockton Companies, LLC | 172 | $21,903 13.1% of $166,637 |
| Dental | Starmount Life Insurance Company | Professional Group Plans, Inc. | 172 | $9,172 5.5% of $166,637 |
| Vision | Vision Service Plan | Employee Navigator, LLC | 178 | $21 0.1% of $17,815 |
| Vision | Vision Service Plan | Lockton Companies, LLC | 178 | $1,026 5.8% of $17,815 |
| Life | Unum Life Insurance Company Of America | Lockton Companies, LLC | 209 | $28,321 8.6% of $328,319 |
| Life | Unum Life Insurance Company Of America | Professional Group Plans, Inc. | 209 | $16,416 5.0% of $328,319 |
| Life | Unum Life Insurance Company Of America | Evolve Insurance Advisors LLC | 209 | $571 0.2% of $328,319 |
| Life | Unum Life Insurance Company Of America | James R Nelligan & Associates | 209 | $222 0.1% of $328,319 |
| Accident | Unum Insurance Company | Lockton Companies, LLC | 78 | $3,355 19.2% of $17,495 |
| Accident | Unum Insurance Company | Professional Group Plans, Inc. | 78 | $876 5.0% of $17,495 |
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.