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Employer
7111 Valley Green Road, Fort Washington, PA 19034 · EIN 81-0666201 · Jan 1, 2023 to Dec 31, 2023
Plan year 2023
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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 $71,712
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Keystone | Emerson Rogers LLC | 20 | $4,957 2.7% of $186,007 |
| Medical | Independence Blue Cross | Emerson Rogers LLC | 198 | $44,936 5.5% of $822,265 |
| Dental + Vision | Unitedhealthcare Insurance Company | Willis Towers Watson Northeast, Inc | 233 | $2,456 4.1% of $60,331 |
| Life | The Lincoln National Life Insurance Company | Willis Towers Watson Northeast, Inc | 19 | $603 10.0% of $6,030 |
| Life | The Lincoln National Life Insurance Company | Willis Towers Watson | 19 | $80 1.3% of $6,030 |
| Life | The Lincoln National Life Insurance Company | Willis Towers Watson Northeast, Inc | 175 | $944 10.0% of $9,438 |
| Life | The Lincoln National Life Insurance Company | Willis Towers Watson | 175 | $128 1.4% of $9,438 |
| Other | The Lincoln National Life Insurance Company | Willis Towers Watson Northeast, Inc | 175 | $3,004 10.0% of $30,040 |
| Other | The Lincoln National Life Insurance Company | Willis Towers Watson | 175 | $421 1.4% of $30,040 |
| Other | The Lincoln National Life Insurance Company | Willis Towers Watson Northeast, Inc | 41 | $2,263 10.0% of $22,632 |
| Other | The Lincoln National Life Insurance Company | Willis Towers Watson | 41 | $338 1.5% of $22,632 |
| Other | Independence Blue Cross | Emerson Rogers LLC | 40 | $11,582 8.0% of $144,141 |
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.