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Employer
5004 State Road, Drexel Hill, PA 19026 · EIN 27-2207131 · Jan 1, 2025 to Dec 31, 2025
Plan year 2025
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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 $117,622
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Independence Blue Cross | Usi Insurance Services (Ri) | 275 | $64,773 2.7% of $2,433,727 |
| Dental | United Concordia Insurance Company | Usi Insurance Services (Ri) | 179 | $4,860 7.4% of $65,938 |
| Dental | United Concordia Insurance Company | Birch Benefits, LLC | 179 | $2,169 3.3% of $65,938 |
| Vision | Sun Life Assurance Company Of Canada | The Cason Group Inc. | 496 | $14,866 3.8% of $392,863 |
| Vision | Sun Life Assurance Company Of Canada | Usi Insurance Services (Ri) | 496 | $27,410 7.0% of $392,863 |
| Vision | Sun Life Assurance Company Of Canada | Birch Benefits, LLC | 496 | $2,382 0.6% of $392,863 |
| Legal Services Plan Memberships | Pre-Paid Legal Services, Inc DBA Legal Shield | Therma Elizabeth Schwartz | 37 | $815 10.4% of $7,838 |
| Legal Services Plan Memberships | Pre-Paid Legal Services, Inc DBA Legal Shield | Usi Insurance Services (Ri) | 37 | $292 3.7% of $7,838 |
| Legal Services Plan Memberships | Pre-Paid Legal Services, Inc DBA Legal Shield | Digital Insurance, Inc. | 37 | $55 0.7% of $7,838 |
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.