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Employer
123 South Broad Street, Suite 1400, Philadelphia, PA 19109 · EIN 23-2598137 · 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 $63,019
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Independence Blue Cross | Emerson Rogers LLC | 102 | $50,251 6.0% of $835,604 |
| Dental | Cigna Health And Life Insurance Company And Affiliates | Usi Insurance Services (Ri) | 84 | $3,124 8.9% of $35,034 |
| Dental | Cigna Health And Life Insurance Company And Affiliates | Cbiz Benefits & Ins. Services | 84 | $307 0.9% of $35,034 |
| Vision | Eyemed Vision Care On Behalf Of Fidelity Security Life Insurance Co. | Cbiz, Inc. | 105 | $111 1.7% of $6,647 |
| Life | Life Insurance Company Of North America | — | 84 | Schedule A not provided |
| Life | Life Insurance Company Of North America | — | 84 | Schedule A not provided |
| Life | Life Insurance Company Of North America | — | 84 | Schedule A not provided |
| Other | New York Life Group Insurance Company Of New York | — | 84 | Schedule A not provided |
| Other | New York Life Group Insurance Company Of New York | — | 84 | Schedule A not provided |
| Other | New York Life Group Insurance Company Of New York | — | 84 | Schedule A not provided |
| Accident, Critical Illness, Hospital | American Heritage Life Insurance Company | Usi Insurance Services (Ri) | 23 | $808 7.2% of $11,158 |
| Accident, Critical Illness, Hospital | American Heritage Life Insurance Company | Cbiz Benefits & Ins. Services | 23 | $610 5.5% of $11,158 |
| Accident, Critical Illness, Hospital | American Heritage Life Insurance Company | Cbiz Benefits & Ins. Services | 23 | $139 1.2% of $11,158 |
| Accident, Critical Illness, Hospital | American Heritage Life Insurance Company | Usi Insurance Services (Ri) | 23 | $70 0.6% of $11,158 |
| Accident, Critical Illness, Hospital | American Heritage Life Insurance Company | Gallagher Fiduciary Advisors, LLC | 23 | $47 0.4% of $11,158 |
| Accident, Critical Illness, Hospital | American Heritage Life Insurance Company | Jennings Insurance Services | 23 | $12 0.1% of $11,158 |
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.