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Employer
675 Griffiths Road, Warrington, PA 18976 · EIN 81-0673778 · Jan 1, 2025 to Dec 31, 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 $41,493
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Independence Blue Cross | Kistler Tiffany Benefits Co | 72 | $28,126 5.4% of $517,403 |
| Dental | Delta Dental | Patriot Growth Insurance Services | 42 | $2,678 10.2% of $26,178 |
| Vision | Eyemed Vision Care | Patriot Growth Insurance Services | 62 | $728 10.2% of $7,139 |
| Life | Colonial Life & Accident Insurance Company | Roth Voluntary Benefit Services Inc | 8 | $788 11.4% of $6,902 |
| Life | Colonial Life & Accident Insurance Company | Patriot Growth Insurance Services | 8 | $695 10.1% of $6,902 |
| Life | Colonial Life & Accident Insurance Company | Nicholas Cusmano | 8 | $60 0.9% of $6,902 |
| Life | Colonial Life & Accident Insurance Company | Darlene Blaasch | 8 | $56 0.8% of $6,902 |
| Life | The Lincoln National Life Insurance Company | Patriot Growth Insurance Services | 62 | $4,773 11.5% of $41,430 |
| Life | The Lincoln National Life Insurance Company | James R Nelligan & Associates | 62 | $3,408 8.2% of $41,430 |
| Legal | Metlife Legal Plans | Patriot Growth Insurance Services | 5 | $181 15.0% of $1,206 |
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.