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Employer
455 Maryland Drive, Fort Washington, PA 19034 · EIN 51-0346014 · Jun 1, 2024 to May 31, 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 $132,100
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Highmark Inc. | Marsh & Mclennan Agency, LLC East | 289 | $104,649 4.9% of $2,115,234 |
| Dental | United Concordia Insurance Company | Marsh & Mclennan Companies Inc | 386 | $13,280 10.1% of $132,135 |
| Vision | Vision Service Plan | Marsh & Mclennan Companies Inc | 227 | $1,157 5.3% of $21,835 |
| Vision | Vision Service Plan | Usi Insurance Services (Ri) | 227 | $-1 0.0% of $21,835 |
| Life | Life Insurance Company Of North America | The Graham Company | 254 | $4,310 10.0% of $43,101 |
| Life | Life Insurance Company Of North America | Usi Insurance Services (Ri) | 254 | $841 2.0% of $43,101 |
| AD&D | Life Insurance Company Of North America | The Graham Company | 254 | $469 10.0% of $4,691 |
| AD&D | Life Insurance Company Of North America | Usi Insurance Services (Ri) | 254 | $105 2.2% of $4,691 |
| Other | Life Insurance Company Of North America | The Graham Company | 132 | $6,249 12.5% of $49,810 |
| Other | Life Insurance Company Of North America | Usi Insurance Services (Ri) | 132 | $1,041 2.1% of $49,810 |
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.