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Employer
960a Harvest Drive, Blue Bell, PA 19422 · EIN 25-1439925 · Jul 1, 2024 to Jun 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 $159,854
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Dental | Aetna Life Insurance Company | Gallagher Fiduciary Advisors, LLC | 1080 | $20,077 6.1% of $326,587 |
| Dental | Aetna Life Insurance Company | Gallagher Fiduciary Advisors, LLC | 1080 | $5,051 1.5% of $326,587 |
| Life | Provident Life And Accident Insurance Company | James H. Van Epps | 312 | $29,363 20.5% of $143,332 |
| Life | Provident Life And Accident Insurance Company | Gallagher Fiduciary Advisors, LLC | 312 | $17,695 12.3% of $143,332 |
| Life | Provident Life And Accident Insurance Company | Charles D. Block | 312 | $9,363 6.5% of $143,332 |
| Life | Provident Life And Accident Insurance Company | Gallagher Fiduciary Advisors, LLC | 312 | $1,991 1.4% of $143,332 |
| Life | Provident Life And Accident Insurance Company | Nfp Corporate Services (Pa), Inc. | 312 | $312 0.2% of $143,332 |
| Life | Provident Life And Accident Insurance Company | Dwight L. Pierce | 312 | $308 0.2% of $143,332 |
| Life | Unum Life Insurance Company Of America | James H. Van Epps | 408 | $25,828 23.4% of $110,592 |
| Life | Unum Life Insurance Company Of America | Gallagher Fiduciary Advisors, LLC | 408 | $10,867 9.8% of $110,592 |
| Life | Unum Life Insurance Company Of America | Charles D. Block | 408 | $5,828 5.3% of $110,592 |
| Life | Unum Life Insurance Company Of America | Gallagher Fiduciary Advisors, LLC | 408 | $935 0.8% of $110,592 |
| Life | Hartford Life And Accident | Gallagher Fiduciary Advisors, LLC | 1364 | $10,413 4.7% of $220,525 |
| Employee Assistance Program | Carebridge Corporation | — | 1666 | Comp not disclosed Premium $24,705 |
| Other | Unum Life Insurance Company Of America | Gallagher Fiduciary Advisors, LLC | 232 | $19,777 15.0% of $131,846 |
| Other | Unum Life Insurance Company Of America | Gallagher Fiduciary Advisors, LLC | 232 | $2,046 1.6% of $131,846 |
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.