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Employer
181 Washington Street, Conshohocken, PA 19428 · EIN 90-0777485 · Mar 1, 2024 to Feb 28, 2025
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 $92,282
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Cigna Health And Life Insurance Company | Aon Consulting, Inc. | 218 | $68,692 6.0% of $1,145,495 |
| Medical | Cigna Health And Life Insurance Company | Emerson Rogers LLC | 218 | $2,349 0.2% of $1,145,495 |
| Dental + Vision | Cigna Health And Life Insurance Company And Affiliates | Aon Consulting, Inc. | 139 | $5,923 3.4% of $176,006 |
| Life | Equitable Financial Life Insurance Company Of America | Univest Insurance, LLC | 150 | $6,476 3.9% of $165,126 |
| Life | Equitable Financial Life Insurance Company Of America | Emerson Rogers LLC | 150 | $743 0.4% of $165,126 |
| Accidental Injury | Cigna Health And Life Insurance Company | Univest Insurance, LLC | 70 | $2,252 16.1% of $13,998 |
| Accidental Injury | Cigna Health And Life Insurance Company | Emerson Rogers LLC | 70 | $751 5.4% of $13,998 |
| Hospital Care | Cigna Health And Life Insurance Company | Univest Insurance, LLC | 41 | $2,069 16.0% of $12,933 |
| Hospital Care | Cigna Health And Life Insurance Company | Emerson Rogers LLC | 41 | $690 5.3% of $12,933 |
| Critical Illness | Cigna Health And Life Insurance Company | Univest Insurance, LLC | 38 | $1,753 16.1% of $10,903 |
| Critical Illness | Cigna Health And Life Insurance Company | Emerson Rogers LLC | 38 | $584 5.4% of $10,903 |
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.