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Employer
1818 Market Street, 37th Floor, Philadelphia, PA 19103 · EIN 45-0474173 · Jul 1, 2024 to Jun 30, 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 $15,745
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Aetna Life Insurance Co. | The Equinox Agency LLC | 111 | $696 0.1% of $882,365 |
| Dental | Metropolitan Life Insurance Company | James R Nelligan & Associates | 137 | $1,051 |
| Dental | Metropolitan Life Insurance Company | The Equinox Agency LLC | 137 | $181 |
| Life | United Of Omaha Life Insurance Company | James R Nelligan & Associates | 86 | $2,754 37.2% of $7,396 |
| AD&D | United Of Omaha Life Insurance Company | James R Nelligan & Associates | 32 | $2,650 31.4% of $8,431 |
| Other | United Of Omaha Life Insurance Company | James R Nelligan & Associates | 86 | $2,372 30.5% of $7,783 |
| Other | United Of Omaha Life Insurance Company | James R Nelligan & Associates | 15 | $3,464 34.9% of $9,917 |
| Voluntary Critical Illness | United Of Omaha Life Insurance Company | James R Nelligan & Associates | 11 | $316 25.5% of $1,241 |
| Voluntary Accident | United Of Omaha Life Insurance Company | James R Nelligan & Associates | 15 | $681 24.3% of $2,808 |
| Voluntary Hospital Indemnity | United Of Omaha Life Insurance Company | James R Nelligan & Associates | 11 | $1,580 33.7% of $4,687 |
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.