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Employer
701 Market Street - Suite 5000, Philadelphia, PA 19106 · EIN 23-2179697 · Jan 1, 2025 to Dec 31, 2025
Plan year 2025
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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 $63,920
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Amerihealth Insurance Company | Emerson Rogers LLC | 5 | $2,499 6.5% of $38,429 |
| Medical | Keystone | Emerson Rogers LLC | 29 | $13,377 8.6% of $155,243 |
| Medical | Independence Blue Cross | Emerson Rogers LLC | 71 | $32,732 7.2% of $452,133 |
| Dental | United Concordia Insurance Company | — | 113 | Schedule A not provided |
| Dental | United Concordia Insurance Company | — | 113 | Schedule A not provided |
| Vision | Independence Blue Cross | — | 71 | Comp not disclosed Premium $94,915 |
| Life | Colonial Life And Accident Insurance Company | Taylor Leigh Perri | 16 | $641 3.3% of $19,315 |
| Life | Colonial Life And Accident Insurance Company | Spencer M. Broad | 16 | $581 3.0% of $19,315 |
| Life | Colonial Life And Accident Insurance Company | Michael J. Perri | 16 | $435 2.3% of $19,315 |
| Life | Colonial Life And Accident Insurance Company | Lisa A. Perri | 16 | $321 1.7% of $19,315 |
| Life | Colonial Life And Accident Insurance Company | Lauren Ashley Perri | 16 | $148 0.8% of $19,315 |
| Life | Colonial Life And Accident Insurance Company | Morgan Perri | 16 | $89 0.5% of $19,315 |
| Other | Reliance Standard Life Insurance Company | My Benefit Adviosr | 111 | $4,627 12.0% of $38,648 |
| Other | Reliance Standard Life Insurance Company | Emerson Rogers LLC | 111 | $1,932 5.0% of $38,648 |
| Other | Reliance Standard Life Insurance Company | Emerson Rogers LLC | 111 | $746 1.9% of $38,648 |
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.