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Employer
3220 Tillman Drive, Suite 300, Bensalem, PA 19020 · EIN 23-2018365 · Jan 1, 2024 to Dec 31, 2024
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 $970,841
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Blue Cross And Blue Shield Of Alabama | — | 124 | Comp not disclosed Premium $974,094 |
| Medical | Blue Cross Blue Shield Of Massachusetts, Inc. | Willis Towers Watson Northeast, Inc | 296 | $505,335 12.0% of $4,224,992 |
| Medical | Blue Cross Blue Shield Of Michigan | Michele L Bolser | 1047 | $158,269 3.0% of $5,352,951 |
| Medical | Blue Care Network Of Michigan | Michele L Bolser | 19 | $8,221 6.6% of $124,952 |
| Medical | Highmark Inc. | National Insurance Markets Inc. | 187 | $27,038 2.0% of $1,379,797 |
| Medical | Kaiser Foundation Health Plan, Inc. | — | 22 | Comp not disclosed Premium $275,290 |
| Medical | United States Fire Insurance Company | — | 1101 | Comp not disclosed Premium $9,624,862 |
| Medical | Highmark Western And Northeastern New York Inc | Willis Towers Watson Northeast, Inc | 1 | $516 5.1% of $10,035 |
| Dental + Vision | The Guardian Life Insurance Company Of America | — | 8076 | Schedule A not provided |
| Life | The Guardian Life Insurance Company Of America | Paul Stanley | 74 | $7,040 13.9% of $50,738 |
| Life | The Guardian Life Insurance Company Of America | Paul Stanley | 1202 | $3,403 0.7% of $466,249 |
| Accidental Death And Dismemberment | Reliance Standard Life Insurance Company | Willis Towers Watson | 3872 | $53 2.1% of $2,476 |
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.