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Employer
470 Maryland Drive, Suite 1, Fort Washington, PA 19034 · EIN 23-1401703 · 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 $140,850
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Aetna Life Insurance Company | — | 4 | Schedule A not provided |
| Medical | Independence Blue Cross | — | 230 | Schedule A not provided |
| Medical | Triple S Salud, Inc. | Michael Quinones Arenas | 15 | $5,127 5.0% of $102,534 |
| Dental | United Concordia Insurance Company | — | 261 | Schedule A not provided |
| Vision | Independence Blue Cross | — | 230 | Comp not disclosed Premium $12,668 |
| Vision | Vision Service Plan | Gallagher Fiduciary Advisors, LLC | 127 | $1,358 4.8% of $28,416 |
| Life | Life Insurance Company Of North America | Gallagher Fiduciary Advisors, LLC | 181 | $7,015 11.7% of $60,153 |
| Accident | Aflac | Darlene S. Dillon | 10 | $697 7.5% of $9,336 |
| Accident | Aflac | Gallagher Fiduciary Advisors, LLC | 10 | $310 3.3% of $9,336 |
| Accident | Aflac | Svetlana Zeitlin | 10 | $279 3.0% of $9,336 |
| Accident | Aflac | Mayra Adorno Serrano & Others | 10 | $115 1.2% of $9,336 |
| Accident | Aflac | Andrew J Junikiewicz Jr | 10 | $105 1.1% of $9,336 |
| Accident | Aflac | Matthew T O Hanlon | 10 | $75 0.8% of $9,336 |
| Accident | Aflac | Jose A. Schieme,Am | 10 | $56 0.6% of $9,336 |
| Voluntary Benefits | Aflac | Gallagher Fiduciary Advisors, LLC | 2 | $36 1.2% of $3,065 |
| Voluntary Benefits | Aflac | Shelly J. Campo | 2 | $32 1.0% of $3,065 |
| Voluntary Benefits | Aflac | Jose A. Schieneman | 2 | $12 0.4% of $3,065 |
| Voluntary Benefits | Aflac | Svetlana Zeitlin | 2 | $9 0.3% of $3,065 |
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.