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Employer
1150 Northbrook Drive, Trevose, PA 19053 · EIN 23-0787699 · Jan 1, 2024 to Dec 31, 2024
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 $306,354
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | HM Life Insurance Company | Kistler Tiffany Benefits Co | 439 | $225,762 15.0% of $1,505,082 |
| Dental | Metropolitan Life Insurance Company | Kistler Tiffany Benefits Co | 957 | $23,998 6.0% of $401,788 |
| Vision | Vision Service Plan | Kistler Tiffany Benefits Co | 443 | $2,287 2.9% of $79,158 |
| Life | Provident Life And Accident Insurance Company | Kistler Tiffany Benefits Co | 43 | $6,408 30.0% of $21,333 |
| Life | Provident Life And Accident Insurance Company | James H Van Epps | 43 | $7 0.0% of $21,333 |
| Life | Provident Life And Accident Insurance Company | Charles D Block | 43 | $7 0.0% of $21,333 |
| Life | Unum Life Insurance Company Of America | Kistler Tiffany Benefits Co | 490 | $15,423 9.1% of $169,471 |
| Life | Unum Life Insurance Company Of America | Kistler Tiffany Benefits Co | 261 | $24,317 19.0% of $127,979 |
| Prepaid Legal | Metlife Legal Plans | Kistler Tiffany Benefits Co | 45 | $1,061 12.1% of $8,748 |
| Critical Illness, Accident | Unum Life Insurance Company Of America | Kistler Tiffany Benefits Co | 64 | $7,084 28.0% of $25,259 |
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.