Employer
Maritime Academy Charter School
2275 Bridge Street, Philadelphia, PA 19137 · EIN 85-3012335 · Jul 1, 2024 to Jun 30, 2025
Plan year 2024
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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 $73,287
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Highmark, Inc. | Birch Benefits, LLC | 213 | $52,118 4.4% of $1,190,594 |
| Dental | United Concordia Insurance Company | Kistler Tiffany Benefits Co | 215 | $6,312 10.2% of $62,047 |
| Vision | Vision Service Plan | Birch Benefits, LLC | 96 | $826 6.8% of $12,113 |
| Vision | Vision Service Plan | Employee Navigator, LLC | 96 | $30 0.2% of $12,113 |
| Life | United Of Omaha Life Insurance Company | Birch Benefits, LLC | 112 | $7,655 10.0% of $76,550 |
| Life | United Of Omaha Life Insurance Company | Emerson Rogers LLC | 112 | $3,500 4.6% of $76,550 |
| Life | United Of Omaha Life Insurance Company | Birch Benefits, LLC | 112 | $2,846 3.7% of $76,550 |
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.