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Employer
800 E Virginia Ave Ste 5, West Chester, PA 19380 · EIN 46-0956768 · Jan 1, 2025 to Sep 30, 2025
Plan year 2025
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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 $14,122
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Dental | Metropolitan Life Insurance Company | Exude Benefit Group Inc. | 392 | $1,766 2.6% of $68,676 |
| Dental | Metropolitan Life Insurance Company | Donald C Savoy Inc. | 392 | $1,766 2.6% of $68,676 |
| Dental | Metropolitan Life Insurance Company | Risk Placement Services Inc. | 392 | $1,035 1.5% of $68,676 |
| Dental | Metropolitan Life Insurance Company | Higginbotham Insurance Agency, Inc. | 392 | $959 1.4% of $68,676 |
| Vision | Eyemed Vision Care | Patriot Growth Insurance Services L | 287 | $382 2.2% of $17,691 |
| Life | United Of Omaha Life Insurance Company | Higginbotham Insurance Agency, Inc. | 241 | $802 6.1% of $13,202 |
| Life | United Of Omaha Life Insurance Company | Patriot Growth Insurance Services L | 241 | $518 3.9% of $13,202 |
| Life | United Of Omaha Life Insurance Company | Higginbotham Insurance Agency, Inc. | 124 | $1,060 8.9% of $11,908 |
| Life | United Of Omaha Life Insurance Company | Patriot Growth Insurance Services L | 124 | $727 6.1% of $11,908 |
| Other | United Of Omaha Life Insurance Company | Higginbotham Insurance Agency, Inc. | 240 | $1,294 6.1% of $21,159 |
| Other | United Of Omaha Life Insurance Company | Patriot Growth Insurance Services L | 240 | $822 3.9% of $21,159 |
| Other | United Of Omaha Life Insurance Company | Higginbotham Insurance Agency, Inc. | 93 | $1,828 6.1% of $29,913 |
| Other | United Of Omaha Life Insurance Company | Patriot Growth Insurance Services L | 93 | $1,163 3.9% of $29,913 |
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.