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Employer
3001 Street Road, Bensalem, PA 19020 · EIN 23-2568399 · 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 $58,021
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Independence Administrators | — | 1218 | Comp not disclosed |
| Vision | Vision Service Plan | Rsc Insurance Brokerage, Inc. | 1197 | $2,663 2.5% of $105,247 |
| Life | Provident Life And Accident Insurance Company | Rsc Insurance Brokerage, Inc. | 192 | $3,505 3.5% of $101,109 |
| Life | Provident Life And Accident Insurance Company | James H Van Epps | 192 | $1,042 1.0% of $101,109 |
| Life | Provident Life And Accident Insurance Company | Charles D Block | 192 | $1,042 1.0% of $101,109 |
| Life | Provident Life And Accident Insurance Company | Jay E Black | 192 | $937 0.9% of $101,109 |
| Life | Provident Life And Accident Insurance Company | Ann Marie Bent | 192 | $703 0.7% of $101,109 |
| Life | Provident Life And Accident Insurance Company | Sonia A Vidal-Awbrey | 192 | $703 0.7% of $101,109 |
| Life | Provident Life And Accident Insurance Company | Strategic Benefit Solutions | 192 | $439 0.4% of $101,109 |
| Life | Provident Life And Accident Insurance Company | Megro Corporation | 192 | $429 0.4% of $101,109 |
| Life | Unum Life Insurance Company Of America | Megro Corporation | 548 | $6,244 6.1% of $102,891 |
| Life | Unum Life Insurance Company Of America | Megro Corporation | 2390 | $28,885 4.3% of $668,519 |
| Accident | Unum Life Insurance Company Of America | Strategic Benefit Solutions | 262 | $3,575 3.6% of $98,880 |
| Accident | Unum Life Insurance Company Of America | Rsc Insurance Brokerage, Inc. | 262 | $3,348 3.4% of $98,880 |
| Accident | Unum Life Insurance Company Of America | Charles Block | 262 | $1,506 1.5% of $98,880 |
| Accident | Unum Life Insurance Company Of America | James Van Epps | 262 | $1,506 1.5% of $98,880 |
| Accident | Unum Life Insurance Company Of America | Megro Corporation | 262 | $807 0.8% of $98,880 |
| Accident | Unum Life Insurance Company Of America | Jay E Black | 262 | $275 0.3% of $98,880 |
| Accident | Unum Life Insurance Company Of America | Ann Marie Bent | 262 | $206 0.2% of $98,880 |
| Accident | Unum Life Insurance Company Of America | Sonia Vidal-Awbery | 262 | $206 0.2% of $98,880 |
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.