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Employer
101h Cherry Lane, Wynnewood, PA 19096 · EIN 23-2589880 · May 1, 2024 to Apr 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 $81,997
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Aetna Life Insurance Co. | — | 46 | Comp not disclosed Premium $307,820 |
| Medical | Highmark, Inc. | Willis Of Pennsylvania, Inc. | 450 | $60,071 2.0% of $3,010,936 |
| Dental | Aetna Life Insurance Co. | Willis Towers Watson Northeast, Inc | 13 | $169 7.9% of $2,150 |
| Dental | Metropolitan Life Insurance Company | Willis Towers Watson Northeast, Inc | 546 | $2,661 2.2% of $118,290 |
| Dental | Metropolitan Life Insurance Company | Willis Towers Watson Northeast, Inc | 546 | $64 0.1% of $118,290 |
| Vision | Eyemed Vision Care On Behalf Of Fidelity Security Life Insurance Co. | Willis Towers Watson Northeast, Inc | 484 | $2,468 9.9% of $24,839 |
| Life | Reliance Standard Life Insurance Company | Willis Towers Watson Northeast, Inc | 382 | $12,292 6.0% of $205,408 |
| Life | Reliance Standard Life Insurance Company | Willis Towers Watson | 382 | $3,733 1.8% of $205,408 |
| Business Travel Accident | National Union Fire Ins. Co. Of Pittsburgh, Pa | Willis Towers Watson Northeast, Inc | 392 | $539 25.0% of $2,156 |
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.