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Employer
8025 Spinnerstown Road, Zionsville, PA 18092 · EIN 26-0003529 · Sep 1, 2022 to Aug 31, 2023
Plan year 2022
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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 $33,492
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Highmark, Inc. | Emerson Reid LLC | 79 | $14,984 2.3% of $642,638 |
| Medical | Highmark, Inc. | The Equinox Agency LLC | 79 | $9,131 1.4% of $642,638 |
| Medical | Highmark, Inc. | Kent E. Evans | 79 | $3,017 0.5% of $642,638 |
| Dental | United Concordia Insurance Company | — | 77 | Schedule A not provided |
| Dental | United Concordia Insurance Company | — | 77 | Schedule A not provided |
| Life | United Of Omaha Life Insurance Company | James R Nelligan & Associates | 122 | $304 7.7% of $3,966 |
| Life | United Of Omaha Life Insurance Company | Usi Insurance Services (Ri) | 122 | $260 6.6% of $3,966 |
| Life | United Of Omaha Life Insurance Company | James R Nelligan & Associates | 122 | $136 3.4% of $3,966 |
| Accident | Unum Life Insurance Company Of America | The Equinox Agency LLC | 46 | $491 8.5% of $5,764 |
| Accident | Unum Life Insurance Company Of America | Usi Insurance Services (Ri) | 46 | $374 6.5% of $5,764 |
| Other | Provident Life And Accident Insurance Company | The Equinox Agency LLC | 20 | $1,912 13.5% of $14,138 |
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.