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Employer
2000 Market Street, 20th Floor, Philadelphia, PA 19103 · EIN 23-1404723 · Jul 1, 2024 to Jun 30, 2025
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 $653,426
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Kaiser Foundation Health Plan Of Washington Options, Inc. | Willis Towers Watson Northeast, Inc | 35 | $10,429 3.0% of $353,244 |
| Medical | Cigna Health And Life Insurance Company And Affiliates | — | 3127 | Schedule A not provided |
| Vision | Vision Benefits Of America | Willis Towers Watson Northeast, Inc | 1463 | $1,596 1.5% of $103,816 |
| Life | Hartford Life And Accident | Willis Towers Watson Northeast, Inc | 2097 | $163,074 6.6% of $2,458,883 |
| Life | Hartford Life And Accident | Willis Towers Watson | 2097 | $36,121 1.5% of $2,458,883 |
| Other | Massachusetts Mutual Life Insurance Company | Willis Of New York Inc. | 314 | $284,153 18.4% of $1,540,389 |
| Other | Massachusetts Mutual Life Insurance Company | Brendan C. Naughton | 314 | $66,834 4.3% of $1,540,389 |
| Other | Massachusetts Mutual Life Insurance Company | Brad Somma | 314 | $11,084 0.7% of $1,540,389 |
| Other | Massachusetts Mutual Life Insurance Company | Peter S. Novak | 314 | $4,606 0.3% of $1,540,389 |
| Other | Massachusetts Mutual Life Insurance Company | Corporate Synergies Group, LLC | 314 | $2,370 0.2% of $1,540,389 |
| Other | Massachusetts Mutual Life Insurance Company | Harris S. Fishman | 314 | $1,498 0.1% of $1,540,389 |
| Long Term Care | Prudential Insurance Company Of America | Gallagher Fiduciary Advisors, LLC | 254 | $19,839 6.2% of $320,268 |
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.