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Employer
1201 Springfield Road, Darby, PA 19023 · EIN 23-1896683 · Sep 1, 2024 to Aug 31, 2025
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 $74,915
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Highmark Blue Shield | Marcos R. Lopez | 88 | $40,152 5.0% of $808,161 |
| Medical | Highmark Blue Shield | Donald C. Savoy, Inc. | 88 | $6,180 0.8% of $808,161 |
| Medical | Highmark Blue Shield | Risk Placement Services, Inc. | 88 | $3,150 0.4% of $808,161 |
| Dental | United Concordia Insurance Company | — | 100 | Schedule A not provided |
| Dental | United Concordia Insurance Company | — | 100 | Schedule A not provided |
| Vision | Vision Service Plan | Patriot Growth Insurance Svcs., LLC | 73 | $431 6.7% of $6,466 |
| Vision | Vision Service Plan | Patriot (Exude, Inc.) | 73 | $217 3.4% of $6,466 |
| Vision | Vision Service Plan | Employee Navigator, LLC | 73 | $11 0.2% of $6,466 |
| Life | Hartford Life And Accident | Patriot Growth Insurance Svcs., LLC | 113 | $768 10.0% of $7,684 |
| Life | Hartford Life And Accident | Patriot Growth Insurance Svcs., LLC | 113 | $33 0.4% of $7,684 |
| Life | Transamerica Life Insurance Company | Patriot Growth Insurance Svcs., LLC | 91 | $7,335 8.5% of $86,338 |
| Life | Transamerica Life Insurance Company | Voluntary Benefits Specialists, LLC | 91 | $7,194 8.3% of $86,338 |
| Life | Transamerica Life Insurance Company | Jeffrey M. Newman | 91 | $1,651 1.9% of $86,338 |
| Life | Transamerica Life Insurance Company | Patriot Growth Insurance Svcs., LLC | 91 | $1,293 1.5% of $86,338 |
| Life | Transamerica Life Insurance Company | Risk Placement Services, Inc. | 91 | $323 0.4% of $86,338 |
| Employee Assistance Program | Aetna Behavioral Health, LLC | — | 120 | Schedule A not provided |
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.