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Employer
12 Lutheran Home Drive, Telford, PA 18969 · EIN 81-4735423 · Apr 1, 2024 to Mar 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 $37,690
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Dental | The Guardian Life Insurance Company Of America | Gallagher Fiduciary Advisors, LLC | 188 | $6,867 6.0% of $113,853 |
| Vision | Vision Service Plan | Gallagher Fiduciary Advisors, LLC | 197 | $1,010 5.9% of $17,151 |
| Life | Metropolitan Life Insurance Company | Gallagher Fiduciary Advisors, LLC | 402 | $24,382 15.3% of $159,718 |
| Life | Metropolitan Life Insurance Company | Gallagher Fiduciary Advisors, LLC | 402 | $2,842 1.8% of $159,718 |
| Life | Metropolitan Life Insurance Company | Gallagher Fiduciary Advisors, LLC | 402 | $14 0.0% of $159,718 |
| Life | Colonial Life And Accident Insurance Company | Patriot Growth Ins. Services, LLC | 11 | $187 2.4% of $7,759 |
| Life | Colonial Life And Accident Insurance Company | Joseph R. Stoll | 11 | $169 2.2% of $7,759 |
| Life | Colonial Life And Accident Insurance Company | Petrina Skiles | 11 | $73 0.9% of $7,759 |
| Life | Colonial Life And Accident Insurance Company | Patriot (Exude, Inc.) | 11 | $57 0.7% of $7,759 |
| Life | Colonial Life And Accident Insurance Company | Lawrence Eugene Prichard | 11 | $48 0.6% of $7,759 |
| Life | Colonial Life And Accident Insurance Company | Edward P. Dougherty, Inc. | 11 | $36 0.5% of $7,759 |
| Life | Colonial Life And Accident Insurance Company | David J. Mcclellan And Other Agents | 11 | $25 0.3% of $7,759 |
| Employee Assistance Program | Penn Foundation | — | 440 | Comp not disclosed Premium $11,461 |
| Telehealth | Revivehealth | — | 402 | Schedule A not provided |
| Accident, Critical Illness, Hospital | American Heritage Life Insurance Company | Gallagher Fiduciary Advisors, LLC | 21 | $1,415 13.4% of $10,586 |
| Accident, Critical Illness, Hospital | American Heritage Life Insurance Company | Gallagher Fiduciary Advisors, LLC | 21 | $565 5.3% of $10,586 |
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.