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Employer
7200 Suter Road, Coopersburg, PA 18036 · EIN 23-1599902 · 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 $157,607
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Cigna Health And Life Insurance Company | — | 18 | Comp not disclosed Premium $186,656 |
| Dental | Delta Dental Of Pennsylvania | Mcgriff Insurance Services Inc. | 3514 | $44,920 4.0% of $1,122,992 |
| Vision | Capital Advantage Assurance Company | — | 4255 | Comp not disclosed Premium $114,367 |
| Life | Reliance Standard | Mcgriff Insurance Services Inc. | 2602 | $70,955 11.6% of $612,739 |
| AD&D | National Union Fire Ins. Co. Pittsburgh, Pa | — | 2239 | Comp not disclosed Premium $14,323 |
| AD&D | Reliance Standard | Mcgriff Insurance Services Inc. | 2226 | $8,260 11.2% of $74,004 |
| Other | Reliance Standard | Mcgriff Insurance Services Inc. | 2079 | $8,884 9.4% of $94,764 |
| Other | Reliance Standard | Mcgriff Insurance Services Inc. | 2118 | $24,588 6.8% of $361,351 |
| Ny Paid Family Leave | First Reliance Standard | Mcgriff Insurance Services Inc. | 38 | Comp not disclosed Premium $13,814 |
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.