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Employer
790 Township Line Road, Yardley, PA 19067 · EIN 84-4706053 · 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 $120,743
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Independence Blue Cross | Flexible Benefits Plans, Inc. | 777 | $26,047 0.4% of $6,634,190 |
| Dental | Delta Dental Of Pennsylvania | — | 823 | Schedule A not provided |
| Dental | Delta Dental Of Pennsylvania | — | 823 | Schedule A not provided |
| Vision | Vision Service Plan | Hub International | 363 | $1,565 3.5% of $44,363 |
| Vision | Vision Service Plan | Employee Navigator, LLC | 363 | $184 0.4% of $44,363 |
| Vision | Vision Service Plan | Gallagher Fiduciary Advisors, LLC | 363 | $172 0.4% of $44,363 |
| Life | United Of Omaha Life Insurance Company | The Hdh Group, Inc. | 491 | $57,013 9.8% of $581,300 |
| Life | United Of Omaha Life Insurance Company | Gallagher Fiduciary Advisors, LLC | 491 | $10,046 1.7% of $581,300 |
| Life | United Of Omaha Life Insurance Company | Gallagher Fiduciary Advisors, LLC | 491 | $3,267 0.6% of $581,300 |
| Legal | Pre-Paid Legal Services DBA Legalshield | Gallagher Fiduciary Advisors, LLC | 55 | $2,957 17.0% of $17,394 |
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.