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Employer
790 Township Line Road, Yardley, PA 19067 · EIN 91-1956924 · Jul 1, 2020 to Mar 31, 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 $9,637
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Dental | Delta Dental Of Washington | — | 1718 | Comp not disclosed Premium $474,227 |
| Dental | Willamette Dental Of Washington, Inc. | — | 311 | Comp not disclosed Premium $110,328 |
| Dental | Dentegra Insurance Company | — | 128 | Comp not disclosed Premium $36,443 |
| Vision | Vision Service Plan | — | 662 | Comp not disclosed Premium $79,567 |
| Vision | National Guardian Life Insurance Company | — | 336 | Comp not disclosed Premium $39,373 |
| Life | The Lincoln National Life Insurance Company | Mercer (Us), Inc. | 394 | $537 2.0% of $26,766 |
| Life | The Lincoln National Life Insurance Company | Mercer (Us), Inc. | 507 | $2,600 1.8% of $144,054 |
| Life | The Lincoln National Life Insurance Company | Mercer (Us), Inc. | 1199 | $1,829 1.7% of $105,866 |
| Employee Assistance Program | Compsych | — | 1146 | Comp not disclosed Premium $18,433 |
| Other | The Lincoln National Life Insurance Company | Mercer (Us), Inc. | 1203 | $2,029 1.7% of $118,561 |
| Other | The Lincoln National Life Insurance Company | Mercer (Us), Inc. | 1202 | $2,642 1.7% of $154,630 |
| Other | Provident Life And Accident Insurance Company | — | 4 | Comp not disclosed Premium $1,449 |
| Other | Provident Life And Accident Insurance Company | — | 4 | Comp not disclosed Premium $1,471 |
| Other | Provident Life And Accident Insurance Company | — | 4 | Comp not disclosed Premium $1,889 |
| Other | Provident Life And Accident Insurance Company | — | 11 | Comp not disclosed Premium $4,216 |
| Other | Provident Life And Accident Insurance Company | — | 55 | Comp not disclosed Premium $18,029 |
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.