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Employer
1845 Walnut Street, Philadelphia, PA 19103 · EIN 23-1352118 · Jan 1, 2024 to Dec 31, 2024
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 $53,884
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Dental | Delta Dental Of Pennsylvania | Aon Consulting, Inc. | 700 | $18,092 8.3% of $216,694 |
| Dental | Delta Dental Of Pennsylvania | Acrisure, LLC DBA Ashton Benefits | 700 | $3,572 1.6% of $216,694 |
| Vision | Aetna Life Insurance Co. | — | 630 | Comp not disclosed Premium $35,455 |
| Life | Prudential Insurance Company Of America | Aon Consulting, Inc. | 733 | $14,903 5.3% of $279,739 |
| Life | Prudential Insurance Company Of America | Acrisure LLC DBA Doyle | 733 | $2,361 0.8% of $279,739 |
| Accident, Hospital Indemnity, Critical Illness | Continental American Insurance Company | Custom Benefit Programs Inc | 99 | $8,181 |
| Accident, Hospital Indemnity, Critical Illness | Continental American Insurance Company | Svetlana Zeitlin | 99 | $2,828 |
| Accident, Hospital Indemnity, Critical Illness | Continental American Insurance Company | Robin Shively | 99 | $2,243 |
| Accident, Hospital Indemnity, Critical Illness | Continental American Insurance Company | Launchpad Benefits Solutions LLC | 99 | $632 |
| Accident, Hospital Indemnity, Critical Illness | Continental American Insurance Company | Stephanie Canfield | 99 | $533 |
| Accident, Hospital Indemnity, Critical Illness | Continental American Insurance Company | Acrisure, LLC DBA Ashton Benefits | 99 | $485 |
| Accident, Hospital Indemnity, Critical Illness | Continental American Insurance Company | Svetlana Zeitlin | 99 | $40 |
| Accident, Hospital Indemnity, Critical Illness | Continental American Insurance Company | Matthew Thomas O Hanlon | 99 | $14 |
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.