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Employer
121 South Broad Street #Floor 9, Philadelphia, PA 19107 · EIN 46-3850194 · Jan 1, 2023 to Dec 31, 2023
Plan year 2023
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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 $19,503
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Cigna Health And Life Insurance Company | Sequoia Benefits & Ins. Services | 93 | $6,179 7.4% of $83,143 |
| Life | Life Insurance Company Of North America | Sequoia Benefits & Ins Services LLC | 74 | $1,254 8.8% of $14,244 |
| Life | Life Insurance Company Of North America | Patriot Growth Insurance Services | 74 | $1,067 7.5% of $14,244 |
| Life | Life Insurance Company Of North America | Ppi Benefit Solutions | 74 | $277 1.9% of $14,244 |
| Accidental Death And Dismemberment | Life Insurance Company Of North America | Sequoia Benefits And Insurance Svcs | 74 | $512 8.9% of $5,753 |
| Accidental Death And Dismemberment | Life Insurance Company Of North America | Patriot Growth Insurance Services | 74 | $426 7.4% of $5,753 |
| Accidental Death And Dismemberment | Life Insurance Company Of North America | Ppi Benefit Solutions | 74 | $110 1.9% of $5,753 |
| Other | Life Insurance Company Of North America | Sequoia Benefits And Insurance Svcs | 29 | $2,259 7.5% of $30,010 |
| Other | Life Insurance Company Of North America | Patriot Growth Insurance Services | 29 | $2,021 6.7% of $30,010 |
| Other | Life Insurance Company Of North America | Ppi Benefit Solutions | 29 | $632 2.1% of $30,010 |
| Other | Life Insurance Company Of North America | Sequoia Benefits And Insurance Svcs | 29 | $2,556 12.1% of $21,195 |
| Other | Life Insurance Company Of North America | Patriot Growth Insurance Services | 29 | $1,782 8.4% of $21,195 |
| Other | Life Insurance Company Of North America | Ppi Benefit Solutions | 29 | $428 2.0% of $21,195 |
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.