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Employer
801 East Fairmont Street, Allentown, PA 18109 · EIN 23-2590104 · Mar 1, 2020 to Feb 28, 2021
Plan year 2020
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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 $15,435
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Independence Blue Cross | William A Graham Company | 104 | Comp not disclosed Premium $576,345 |
| Dental | United Concordia Insurance Company | William A Graham Company | 99 | $3,167 8.3% of $38,174 |
| Vision | Vision Service Plan | William A Graham Company | 89 | $761 7.4% of $10,269 |
| Life | Hartford Life And Accident | William A. Graham Company | 142 | $10,790 13.7% of $78,992 |
| AD&D | Colonial Life & Accident Insurance Company | William A Graham Company | 11 | $354 5.7% of $6,187 |
| AD&D | Colonial Life & Accident Insurance Company | Merridith Stanton | 11 | $128 2.1% of $6,187 |
| AD&D | Colonial Life & Accident Insurance Company | Stevie Kircher | 11 | $101 1.6% of $6,187 |
| AD&D | Colonial Life & Accident Insurance Company | Julia George | 11 | $68 1.1% of $6,187 |
| AD&D | Colonial Life & Accident Insurance Company | Kevin Stanton | 11 | $26 0.4% of $6,187 |
| AD&D | Colonial Life & Accident Insurance Company | Cathy Good | 11 | $24 0.4% of $6,187 |
| AD&D | Colonial Life & Accident Insurance Company | Elite Brokerage Svcs Inc | 11 | $8 0.1% of $6,187 |
| AD&D | Colonial Life & Accident Insurance Company | Brent Mcvicker | 11 | $5 0.1% of $6,187 |
| AD&D | Colonial Life & Accident Insurance Company | William E Good | 11 | $3 0.0% of $6,187 |
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.