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Employer
2331 Topaz Drive, Hatfield, PA 19440 · EIN 58-1577675 · 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 $32,396
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Dental | The Guardian Life Insurance Company Of America | Bsi Coporate Benefits LLC | 171 | $9,320 39.4% of $23,629 |
| Life | United Of Omaha Life Insurance Company | Bsi Corporate Benefits, Inc. | 177 | $9,708 23.5% of $41,241 |
| AD&D | United Of Omaha Life Insurance Company | Bsi Corporate Benefits, Inc. | 49 | $2,874 21.4% of $13,435 |
| Other | United Of Omaha Life Insurance Company | Bsi Corporate Benefits, Inc. | 177 | $3,335 10.2% of $32,693 |
| Other | United Of Omaha Life Insurance Company | United Of Omaha Life Insurance Comp | 177 | $5,013 |
| Other | United Of Omaha Life Insurance Company | Bsi Corporate Benefits, Inc. | 177 | $392 |
| Telemedicine | Healthiest You | — | — | Schedule A not provided |
| Critical Illness Voluntary | United Of Omaha Life Insurance Company | Bsi Corporate Benefits, Inc. | 17 | $462 12.5% of $3,703 |
| Accident Only Voluntary | United Of Omaha Life Insurance Company | Bsi Corporate Benefits, Inc. | 31 | $688 13.5% of $5,088 |
| Hospital Indem - Voluntary | United Of Omaha Life Insurance Company | Bsi Corporate Benefits, Inc. | 18 | $604 13.2% of $4,593 |
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.