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Employer
110 Washington Street, Suite 1300, Conshohocken, PA 19428 · EIN 23-2962336 · 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 $83,427
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Cigna Health And Life Insurance Company And Affiliates | — | 523 | Comp not disclosed Premium $486,563 |
| Medical | Lifesecure Insurance Company | J. Manning & Associates | 5 | $394 4.8% of $8,183 |
| Medical | Lifesecure Insurance Company | Nfp Corporate Services (Pa), Inc. | 5 | $121 1.5% of $8,183 |
| Medical | Lifesecure Insurance Company | Daniel Aceti | 5 | $81 1.0% of $8,183 |
| Medical | Lifesecure Insurance Company | Ltci Partners | 5 | $63 0.8% of $8,183 |
| Medical | Prudential Insurance Company Of America | Triben Insurance Solutions Inc | 701 | $75,047 14.3% of $523,986 |
| Medical | Prudential Insurance Company Of America | Img | 701 | $134 0.0% of $523,986 |
| Vision | Fidelity Security Life Insurance Company (Eyemed) | — | 969 | Comp not disclosed Premium $41,505 |
| Individual Disability Income | Metropolitan Life Insurance Company | Management Compensation Group | 23 | $4,646 12.6% of $37,006 |
| Individual Disability Income | Metropolitan Life Insurance Company | Gallagher Fiduciary Advisors, LLC | 23 | $2,169 5.9% of $37,006 |
| Individual Disability Income | Metropolitan Life Insurance Company | One80 Intermediaries Inc | 23 | $423 1.1% of $37,006 |
| Individual Disability Income | Metropolitan Life Insurance Company | Nfp Ins Services Inc | 23 | $149 0.4% of $37,006 |
| Individual Disability Income | Metropolitan Life Insurance Company | Usi Insurance Services (Ri) | 23 | $108 0.3% of $37,006 |
| Individual Disability Income | Metropolitan Life Insurance Company | Nfp Corporate Services (Pa), Inc. | 23 | $92 0.2% of $37,006 |
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.