Loading employer…
Employer
555 Croton Road, Suite 307, King Of Prussia, PA 19406 · EIN 81-3878298 · Sep 1, 2024 to Aug 31, 2025
Plan year 2024
View
Schedule A
Coverage contracts on the filing. If the carrier did not provide Schedule A, the row is listed with that note.
Visible subtotal $160,480
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Independence Blue Cross | Kistler Tiffany Benefits Co | 132 | $82,904 6.5% of $1,283,844 |
| Medical | Independence Blue Cross | Marsh & Mclennan Agency, LLC East | 132 | $34,216 2.7% of $1,283,844 |
| Dental | The Guardian Life Insurance Company Of America | Kistler Tiffany Benefits Co | 212 | $24,418 7.6% of $319,968 |
| Dental | The Guardian Life Insurance Company Of America | Onedigital Premier Services LLC | 212 | $10,480 3.3% of $319,968 |
| Dental | The Guardian Life Insurance Company Of America | Marsh & Mclennan Agency, LLC East | 212 | $5,130 1.6% of $319,968 |
| Vision | Vision Service Plan | Kistler Tiffany Benefits Co | 133 | $931 4.5% of $20,465 |
| Vision | Vision Service Plan | Marsh & Mclennan Agency, LLC East | 133 | $190 0.9% of $20,465 |
| Vision | Vision Service Plan | Employee Navigator, LLC | 133 | $33 0.2% of $20,465 |
| Other | Independence Blue Cross | Marsh & Mclennan Agency, LLC East | 105 | $1,713 0.5% of $356,078 |
| Other | Independence Blue Cross | Kistler Tiffany Benefits Co | 105 | $465 0.1% of $356,078 |
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.