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Employer
905 Airport Road, Suite 400, West Chester, PA 19380 · EIN 23-3073393 · Jan 1, 2020 to Dec 31, 2020
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 $126,710
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Dental | Delta Dental | Nfp Corporate Services (Pa), Inc. | 1151 | $7,969 4.0% of $199,226 |
| Dental + Vision | Ameritas Life Insurance Corp. | Nfp Corporate Services (Pa), Inc. | 2811 | $21,698 5.0% of $433,955 |
| Vision | Eyemed Vision Care | Nfp Corporate Services (Pa), Inc. | 3514 | $17,573 10.0% of $175,713 |
| Life | Life Insurance Of North America | Nfp Corporate Services (Pa), Inc. | 2994 | $33,990 8.8% of $387,841 |
| Accidental Death And Dismemberment | Life Insurance Company Of North America | Nfp Corporate Services (Pa), Inc. | 2994 | $3,405 8.8% of $38,712 |
| Business Travel Accident | Life Insurance Company Of North America | Nfp Corporate Services (Pa), Inc. | 674 | $3,045 18.3% of $16,633 |
| Other | Life Insurance Company Of North America | Nfp Corporate Services (Pa), Inc. | 941 | $11,923 7.1% of $168,243 |
| Long Term Care | Unum Life Insurance Company Of America | Nfp Corporate Services (Pa), Inc. | 2 | $6,586 22.1% of $29,784 |
| Other | Life Insurance Company Of North America | Nfp Corporate Services (Pa), Inc. | 4181 | $20,521 7.4% of $278,773 |
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.