Employer
Mazzoni Center
1348 Bainbridge Street, Philadelphia, PA 19147 · EIN 23-2176338 · Oct 1, 2024 to Sep 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 $58,925
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Independence Blue Cross | Gallagher Fiduciary Advisors, LLC | 53 | $39,816 6.7% of $591,056 |
| Dental | Aetna Life Insurance Company | Gallagher Fiduciary Advisors, LLC | 140 | $616 1.2% of $52,766 |
| Dental | Aetna Life Insurance Company | Gallagher Fiduciary Advisors, LLC | 140 | $5,659 10.7% of $52,766 |
| Vision | Independence Blue Cross | — | 53 | Comp not disclosed Premium $176,829 |
| Life | Life Insurance Company Of North America | Gallagher Fiduciary Advisors, LLC | 114 | $8,474 10.1% of $83,772 |
| Life | Life Insurance Company Of North America | Gallagher Fiduciary Advisors, LLC | 114 | $1,155 1.4% of $83,772 |
| Accident, Critical Illness, Hospital | Hartford Life And Accident | Gallagher Fiduciary Advisors, LLC | 46 | $3,205 28.5% of $11,231 |
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.