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Employer
119 Technology Drive, Bethlehem, PA 18015 · EIN 23-2566613 · Jan 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 $46,189
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Aetna Life Insurance Company | Kistler Tiffany Benefits Co | 298 | $4,040 0.1% of $2,717,904 |
| Medical | Unum Insurance Company | Mercer (Us), Inc. | 23 | $1,258 11.9% of $10,586 |
| Medical | Unum Insurance Company | Kistler Tiffany Benefits Co | 23 | $286 2.7% of $10,586 |
| Medical | Unum Insurance Company | Kistler Tiffany Benefits Co | 26 | $1,276 14.7% of $8,660 |
| Medical | Unum Insurance Company | Mercer (Us), Inc. | 26 | $37 0.4% of $8,660 |
| Medical | Cigna Health And Life Insurance Company | Mercer (Us), Inc. | 3 | $3,456 15.0% of $23,042 |
| Dental | Delta Dental Of Pennsylvania | Mercer (Us), Inc. | 360 | $14,756 9.1% of $162,594 |
| Dental | Delta Dental Of Pennsylvania | Kistler Tiffany Benefits Co | 360 | $1,504 0.9% of $162,594 |
| Vision | Vision Service Plan | Mercer (Us), Inc. | 144 | $2,319 9.1% of $25,608 |
| Vision | Vision Service Plan | Kistler Tiffany Benefits Co | 144 | $246 1.0% of $25,608 |
| Life | Unum Life Insurance Company Of America | Mercer (Us), Inc. | 169 | $9,108 7.9% of $114,839 |
| Life | Unum Life Insurance Company Of America | Kistler Tiffany Benefits Co | 169 | $2,294 2.0% of $114,839 |
| Life | Unum Life Insurance Company Of America | Mercer (Us), Inc. | 59 | $4,515 13.4% of $33,751 |
| Life | Unum Life Insurance Company Of America | Kistler Tiffany Benefits Co | 59 | $1,094 3.2% of $33,751 |
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.