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Employer
Route 611 And Sawmill Road, Doylestown, PA 18901 · EIN 23-2999584 · 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 $183,656
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | American Fidelity Assurance Company | Various Agents - See Attachment | 688 | $83,253 8.6% of $962,772 |
| Dental | Aetna Life Insurance Co. | Willis Towers Watson Northeast, Inc | 1976 | $2,791 0.5% of $578,665 |
| Vision | Vision Benefits Of America | — | 1098 | Comp not disclosed Premium $56,885 |
| Life | Hartford Life And Accident | Willis Towers Watson Northeast, Inc | 1833 | $11,350 10.0% of $113,497 |
| Life | Hartford Life And Accident | Willis Towers Watson | 1833 | $1,978 1.7% of $113,497 |
| Other | Life Insurance Company Of North America | Willis Towers Watson Northeast, Inc | 1246 | $49,236 8.3% of $596,355 |
| Other | Life Insurance Company Of North America | Willis Towers Watson Northeast, Inc | 1246 | $74 0.0% of $596,355 |
| Other | Life Insurance Company Of North America | Willis Towers Watson Northeast, Inc | 1246 | $33,287 8.3% of $402,936 |
| Other | Life Insurance Company Of North America | Willis Towers Watson Northeast, Inc | 1246 | $74 0.0% of $402,936 |
| Employee Assistance Program | Curalinc, LLC, DBA Curalinc Healthcare | — | 1775 | Comp not disclosed Premium $25,134 |
| Other | Life Insurance Company Of North America | Willis Towers Watson Northeast, Inc | 1246 | $1,539 1.5% of $102,197 |
| Other | Life Insurance Company Of North America | Willis Towers Watson Northeast, Inc | 1246 | $74 0.1% of $102,197 |
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.