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Employer
785 Arbor Way, Blue Bell, PA 19422 · EIN 91-1501877 · Jan 1, 2025 to Dec 31, 2025
Plan year 2025
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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 $176,842
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Hcc Life Insurance Company | Marsh & Mclennan Agency, LLC East | 1099 | $57,686 5.0% of $1,153,710 |
| Medical | Triple S - Puerto Rico | Marsh Saldana,Inc. | 19 | $5,076 4.9% of $102,548 |
| Medical | New York Life (Life Insurance Company Of North America) | Marsh & Mclennan Agency, LLC East | 1533 | $5,932 1.6% of $380,438 |
| Medical | Aetna Life Insurance Company | Marsh & Mclennan Agency, LLC East | 340 | $87,638 5.5% of $1,584,399 |
| Dental | Delta Dental Of Pennsylvania | — | 1121 | Comp not disclosed Premium $789,118 |
| Dental | Delta Dental Of Puerto Rico | Marsh Saldana, Inc. | 21 | $380 5.0% of $7,591 |
| Vision | Eyemed Vision Care | — | 1193 | Comp not disclosed Premium $120,512 |
| Life | New York Life (Life Insurance Company Of North America) | Marsh & Mclennan Agency, LLC East | 1544 | $4,177 1.5% of $271,659 |
| Accidental Death And Dismemberment | New York Life (Life Insurance Company Of North America) | Marsh & Mclennan Agency, LLC East | 1544 | $929 1.5% of $60,024 |
| Other | New York Life (Life Insurance Company Of North America) | Marsh & Mclennan Agency, LLC East | 1533 | $14,318 1.6% of $917,148 |
| Accidental Death And Dismemberment | Ace Insurance Company | Marsh & Mclennan Agency, LLC East | 36 | $706 16.5% of $4,278 |
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.