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Employer
11 East Steel Road, Morrisville, PA 19067 · EIN 23-2499368 · Jan 1, 2024 to Dec 31, 2024
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 $136,102
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Gerber Life - Umr | Kistler Tiffany Benefits Co | 72 | $20,750 15.0% of $138,335 |
| Stop-loss | Healthscope | Onedigital (Philadelphia) | 177 | $49,139 15.0% of $327,594 |
| Dental | The Guardian Life Insurance Company | Kistler Tiffany Benefits Co | 301 | $41,020 10.0% of $409,002 |
| Dental | The Guardian Life Insurance Company | Onedigital Premier Services LLC | 301 | $20,450 5.0% of $409,002 |
| Vision | Vision Service Plan | Onedigital (Philadelphia) | 230 | $1,247 5.0% of $24,702 |
| Critical Care; Accident | Colonia Life & Accident Insurance Company | Digital Insurance, Inc. | 36 | $2,124 7.9% of $26,814 |
| Critical Care; Accident | Colonia Life & Accident Insurance Company | Ardena L Mcvicker | 36 | $532 2.0% of $26,814 |
| Critical Care; Accident | Colonia Life & Accident Insurance Company | Teresa Burns | 36 | $295 1.1% of $26,814 |
| Critical Care; Accident | Colonia Life & Accident Insurance Company | Lance A Bradley | 36 | $260 1.0% of $26,814 |
| Critical Care; Accident | Colonia Life & Accident Insurance Company | Benechoice Enrollment Solutions & T | 36 | $240 0.9% of $26,814 |
| Critical Care; Accident | Colonia Life & Accident Insurance Company | Brent Mcvicker | 36 | $25 0.1% of $26,814 |
| Critical Care; Accident | Colonia Life & Accident Insurance Company | Petrina Skiles | 36 | $10 0.0% of $26,814 |
| Critical Care; Accident | Colonia Life & Accident Insurance Company | Joseph R. Stoll | 36 | $8 0.0% of $26,814 |
| Critical Care; Accident | Colonia Life & Accident Insurance Company | Ashly Elcock | 36 | $2 0.0% of $26,814 |
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.
Visible subtotal $807,327