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Employer
800 Township Line Road, Yardley, PA 19067 · EIN 32-0269755 · Mar 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 $445,804
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Independence Blue Cross | Gallagher Fiduciary Advisors, LLC | 2199 | $334,611 2.0% of $16,835,211 |
| Dental | Metropolitan Life Insurance Company | Gallagher Fiduciary Advisors, LLC | 2892 | $58,335 5.9% of $986,972 |
| Dental | Metropolitan Life Insurance Company | Gallagher Fiduciary Advisors, LLC | 2892 | $18,770 1.9% of $986,972 |
| Dental | Metropolitan Life Insurance Company | Benefitstore, Inc. | 2892 | $6,560 0.7% of $986,972 |
| Dental | Metropolitan Life Insurance Company | Gallagher Fiduciary Advisors, LLC | 2892 | $176 0.0% of $986,972 |
| Vision | Eyemed Vision Care On Behalf Of Fidelity Security Life Insurance Co. | Gallagher Fiduciary Advisors, LLC | 1153 | $662 2.4% of $27,262 |
| Life | Unum Life Insurance Company Of America | Gallagher Fiduciary Advisors, LLC | 1332 | $17,089 2.5% of $682,977 |
| Accident,Critical Illness,Hospital | Unum Insurance Company | Gallagher Fiduciary Advisors, LLC | 156 | $8,432 18.0% of $46,847 |
| Accident,Critical Illness,Hospital | Unum Insurance Company | Gallagher Fiduciary Advisors, LLC | 156 | $1,169 2.5% of $46,847 |
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.