Employer
Deval Life Cycle Support
7341 Tulip Street, Philadelphia, PA 19136 · EIN 82-1461489 · Jan 1, 2025 to Dec 31, 2025
Plan year 2025
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Schedule A
Direct compensation
Coverage contracts on the filing. If the carrier did not provide Schedule A, the row is listed with that note.
Visible subtotal $113,676
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Independence Blue Cross | Kistler Tiffany Benefits Co | 154 | $54,831 6.5% of $846,074 |
| Medical | Keystone | Kistler Tiffany Benefits Co | 35 | $11,025 7.4% of $149,633 |
| Dental + Vision | Guardian Life Insurance Company | Onedigital (Philadelphia) | 167 | $38,043 19.5% of $195,549 |
| Dental + Vision | Guardian Life Insurance Company | One Digital Premier Services | 167 | $9,777 5.0% of $195,549 |
Schedule C
Additional compensation
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.