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Employer
2600 Belmont Avenue, Philadelphia, PA 19131 · EIN 23-1352284 · Jul 1, 2024 to Jun 30, 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 $175,027
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Cigna Health And Life Insurance Company | Marsh & Mclennan Agency, LLC East | 161 | $150,189 6.4% of $2,354,003 |
| Dental | United Concordia Insurance Company | Marsh & Mclennan Agency, LLC East | 167 | $6,522 6.1% of $106,329 |
| Dental | United Concordia Dental Plans Of Pennsylvania, Inc. | Marsh & Mclennan Agency, LLC East | 5 | $84 6.0% of $1,396 |
| Vision | Vision Benefits Of America | Marsh & Mclennan Agency, LLC East | 172 | $678 6.6% of $10,228 |
| Life | New York Life (Life Insurance Company Of North America) | Marsh & Mclennan Agency, LLC East | 228 | $5,352 17.3% of $30,893 |
| Life | Unum - Provident Life & Accident Insurance Company | Marsh & Mclennan Agency, LLC East | 41 | $957 4.0% of $24,158 |
| Other | New York Life (Life Insurance Company Of North America) | Marsh & Mclennan Agency, LLC East | 228 | $10,522 17.3% of $60,743 |
| Accidental Death And Dismemberment | New York Life (Life Insurance Company Of North America) | Marsh & Mclennan Agency, LLC East | 228 | $723 17.3% of $4,173 |
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.