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Employer
104 Pheasant Run, Suite 128, Newtown, PA 18940 · EIN 22-3505477 · Jan 1, 2020 to Dec 31, 2020
Plan year 2020
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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 $62,728
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Horizon Healthcare Services, Inc. | Gallagher Fiduciary Advisors, LLC | 72 | $49,473 4.9% of $1,010,148 |
| Dental | Delta Dental Of Pennsylvania | — | 220 | Schedule A not provided |
| Vision | Vision Service Plan | Gallagher Fiduciary Advisors, LLC | 105 | $948 6.1% of $15,618 |
| Life | Sun Life Assurance Company Of Canada | Gallagher Fiduciary Advisors, LLC | 118 | $7,777 4.4% of $178,590 |
| Life | Sun Life Assurance Company Of Canada | Mgis | 118 | $195 0.1% of $178,590 |
| Critical Illness, Hospital, Cancer | Aflac | Sjc Business Services, LLC | 9 | $62 0.6% of $10,343 |
| Critical Illness, Hospital, Cancer | Aflac | Robin Shively | 9 | $51 0.5% of $10,343 |
| Critical Illness, Hospital, Cancer | Aflac | Jeffrey C. Chubb | 9 | $32 0.3% of $10,343 |
| Critical Illness, Hospital, Cancer | Aflac | Svetlana Zeitlin | 9 | $348 3.4% of $10,343 |
| Critical Illness, Hospital, Cancer | Aflac | Richard Racusin And Various Agents | 9 | $110 1.1% of $10,343 |
| Critical Illness, Hospital, Cancer | Aflac | Gallagher Fiduciary Advisors, LLC | 9 | $94 0.9% of $10,343 |
| Critical Illness, Hospital, Cancer | Aflac | Jose A. Schieneman | 9 | $63 0.6% of $10,343 |
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.