Employer
La Colombe Holdings, Inc.
2620 East Tioga Street, Philadelphia, PA 19134 · EIN 47-1649506 · Jul 1, 2024 to Dec 31, 2024
Plan year 2024
View
Schedule A
Direct compensation
Coverage contracts on the filing. If the carrier did not provide Schedule A, the row is listed with that note.
Visible subtotal $112,894
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Cigna Health And Life Insurance Company | Marsh & Mclennan Agency, LLC East | 629 | $101,587 3.3% of $3,079,181 |
| Medical | Cigna Health And Life Insurance Company | Marsh & Mclennan Agency, LLC East | 629 | $11,307 0.4% of $3,079,181 |
| Life | Sun Life Assurance Company Of Canada | — | 677 | Comp not disclosed Premium $184,591 |
| Hospital Indemnity | Cigna Health And Life Insurance Company | — | 120 | Schedule A not provided |
| Accident | Cigna Health And Life Insurance Company | — | 157 | Schedule A not provided |
| Critical Illness | Cigna Health And Life Insurance Company | — | 151 | Schedule A not provided |
Schedule C
Additional compensation
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.