Employer
Maritime Academy Charter School
2275 Bridge Street, Philadelphia, PA 19137 · EIN 05-0581916 · Jul 1, 2025 to Jun 30, 2026
Plan year 2025
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Schedule A
Direct compensation
Coverage contracts on the filing. If the carrier did not provide Schedule A, the row is listed with that note.
Visible subtotal $73,517
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Independence Blue Cross | Kistler Tiffany Benefits Co | 207 | $48,216 3.2% of $1,498,877 |
| Dental | United Concordia Insurance Company | Kistler Tiffany Benefits Co | 204 | $7,664 12.7% of $60,561 |
| Vision | Vision Service Plan | Birch Benefits, LLC | 94 | $813 6.9% of $11,795 |
| Life | United Of Omaha Life Insurance Company | Birch Benefits, LLC | 107 | $12,368 13.9% of $89,098 |
| Life | United Of Omaha Life Insurance Company | Emerson Rogers LLC | 107 | $3,385 3.8% of $89,098 |
| Life | United Of Omaha Life Insurance Company | Birch Benefits, LLC | 107 | $1,071 1.2% of $89,098 |
Schedule C
Additional compensation
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.