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Employer
1001 Conshohocken State Road, West Conshohocken, PA 19428 · EIN 80-0423777 · 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 $7,630
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Colonial Life & Accident Insurance Company | Conner Strong & Buckelew Companies | 33 | $1,161 3.1% of $37,545 |
| Medical | Colonial Life & Accident Insurance Company | Pamela J Walker | 33 | $790 2.1% of $37,545 |
| Medical | Colonial Life & Accident Insurance Company | O'Neill Voluntary Benefit Services | 33 | $733 2.0% of $37,545 |
| Medical | Colonial Life & Accident Insurance Company | Merki Benefits Administration LLC | 33 | $356 0.9% of $37,545 |
| Medical | Colonial Life & Accident Insurance Company | Kami L Stanley | 33 | $348 0.9% of $37,545 |
| Medical | Colonial Life & Accident Insurance Company | Lisa A Perri | 33 | $135 0.4% of $37,545 |
| Medical | Colonial Life & Accident Insurance Company | Roth Voluntary Benefit Services Inc | 33 | $116 0.3% of $37,545 |
| Medical | Colonial Life & Accident Insurance Company | Peter R Martel | 33 | $32 0.1% of $37,545 |
| Medical | Colonial Life & Accident Insurance Company | Dila R Romero | 33 | $31 0.1% of $37,545 |
| Medical | Colonial Life & Accident Insurance Company | David Mcleod | 33 | $29 0.1% of $37,545 |
| Medical | Colonial Life & Accident Insurance Company | Employee Benefits Consultants, LLC | 33 | $11 0.0% of $37,545 |
| Medical | Colonial Life & Accident Insurance Company | David James Diehl | 33 | $11 0.0% of $37,545 |
| Medical | Colonial Life & Accident Insurance Company | Brenda H Bridges | 33 | $6 0.0% of $37,545 |
| Medical | Colonial Life & Accident Insurance Company | Brandy Lee Mundy | 33 | $5 0.0% of $37,545 |
| Medical | Colonial Life & Accident Insurance Company | Jeffrey D Brindle | 33 | $2 0.0% of $37,545 |
| Medical | Colonial Life & Accident Insurance Company | O'Neill Voluntary Benefit Services | 25 | $228 1.4% of $16,341 |
| Medical | Colonial Life & Accident Insurance Company | Kami L Stanley | 25 | $28 0.2% of $16,341 |
| Medical | Colonial Life & Accident Insurance Company | Advanced Benefit System Inc | 25 | $7 0.0% of $16,341 |
| Medical | Colonial Life & Accident Insurance Company | Crtx2 LLC | 25 | $6 0.0% of $16,341 |
| Medical | Colonial Life & Accident Insurance Company | Donald B Faulkner Sr | 25 | $5 0.0% of $16,341 |
| Medical | Colonial Life & Accident Insurance Company | Sherron Hopper | 25 | $5 0.0% of $16,341 |
| Medical | Colonial Life & Accident Insurance Company | Chanda Manske | 25 | $5 0.0% of $16,341 |
| Medical | Colonial Life & Accident Insurance Company | The Clark Group Of Sc | 25 | $5 0.0% of $16,341 |
| Medical | Colonial Life & Accident Insurance Company | Sandra J Runion | 25 | $4 0.0% of $16,341 |
| Medical | Colonial Life & Accident Insurance Company | Terry D Garett | 25 | $2 0.0% of $16,341 |
| Medical | Colonial Life & Accident Insurance Company | Omar Leon | 25 | $1 0.0% of $16,341 |
| Life | Reliance Standard Life Insurance Company | — | 275 | Comp not disclosed Premium $57,201 |
| Voluntary Long-Term Disability | Reliance Standard Life Insurance Company | Conner Strong & Buckelew Companies | 41 | $3,568 15.0% of $23,788 |
| Voluntary Short-Term Disability | Reliance Standard Life Insurance Company | — | 69 | Comp not disclosed Premium $35,401 |
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.