Employer
Integrichain, Inc.
Two Logan Square, Philadelphia, PA 19103 · EIN 54-2187446 · Jan 1, 2025 to Dec 31, 2025
Plan year 2025
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Schedule A
Direct compensation
Coverage contracts on the filing. If the carrier did not provide Schedule A, the row is listed with that note.
Visible subtotal $60,400
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Dental + Vision | The Guardian Life Insurance Company Of America | The Foley Insurance Agency, Inc. | 372 | $60,400 7.9% of $760,676 |
Schedule C
Additional compensation
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.
Visible subtotal $728,029
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Cigna Health And Life Insurance Co | Medical Fees | $387,387 | $1,041.36 |
| The Foley Ins Agcy Inc. | Medical Broker | $224,085 | $602.38 |
| Emerson Rogers, LLC | Medical Broker | $89,638 | $240.96 |
| The Harrison Group, Inc. | Fsa Fees | $26,919 | $72.36 |