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Employer
One Sentry Parkway, Blue Bell, PA 19422 · EIN 23-2883723 · 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 $121,641
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Aetna Life Insurance Company | Simkiss & Block | 419 | $110,443 4.0% of $2,743,098 |
| Medical | Aetna Life Insurance Company | Simkiss & Block | 419 | $5,120 0.2% of $2,743,098 |
| Medical | Aetna Life Insurance Company | Simkiss & Block | 419 | $3,512 0.1% of $2,743,098 |
| Medical | Aetna Life Insurance Company | Simkiss & Block | 419 | $450 0.0% of $2,743,098 |
| Medical | Aetna Life Insurance Company | Simkiss & Block | 419 | $256 0.0% of $2,743,098 |
| Life | Life Insurance Company Of North America | Simkiss & Block | 242 | $419 0.8% of $51,020 |
| AD&D | Life Insurance Company Of North America | Simkiss & Block | 242 | $73 0.8% of $8,873 |
| Other | Life Insurance Company Of North America | Simkiss & Block | 242 | $445 0.8% of $54,342 |
| Other | Life Insurance Company Of North America | Simkiss & Block | 242 | $923 1.2% of $75,088 |
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.