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Employer
626 Jacksonville Road, Warminster, PA 18974 · EIN 23-2403099 · 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 $81,653
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Keystone | — | 70 | Schedule A not provided |
| Medical | Independence Blue Cross | — | 115 | Schedule A not provided |
| Dental | The Guardian Life Insurance Company Of America | Kistler Tiffany Benefits Co | 86 | $6,360 9.4% of $67,835 |
| Dental | The Guardian Life Insurance Company Of America | Onedigital Premier Services LLC | 86 | $3,392 5.0% of $67,835 |
| Vision | Independence Blue Cross | — | 115 | Schedule A not provided |
| Life | United Of Omaha Life Insurance Company | Onedigital (Philadelphia) | 132 | $3,933 8.1% of $48,650 |
| Life | United Of Omaha Life Insurance Company | Onedigital (Philadelphia) | 132 | $2,611 5.4% of $48,650 |
| Life | United Of Omaha Life Insurance Company | Onedigital Premier Services LLC | 132 | $2,433 5.0% of $48,650 |
| Other | United Of Omaha Life Insurance Company | Onedigital (Philadelphia) | 96 | $3,732 8.4% of $44,635 |
| Other | United Of Omaha Life Insurance Company | Onedigital (Philadelphia) | 96 | $2,295 5.1% of $44,635 |
| Other | United Of Omaha Life Insurance Company | Onedigital Premier Services LLC | 96 | $2,232 5.0% of $44,635 |
| Other | United Of Omaha Life Insurance Company | Onedigital (Philadelphia) | 96 | $3,294 12.7% of $25,886 |
| Other | United Of Omaha Life Insurance Company | Onedigital (Philadelphia) | 96 | $1,322 5.1% of $25,886 |
| Other | United Of Omaha Life Insurance Company | Onedigital Premier Services LLC | 96 | $1,294 5.0% of $25,886 |
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.