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Employer
2626 Van Buren Avenue, Norristown, PA 19403 · EIN 23-2423356 · Dec 1, 2023 to Dec 31, 2023
Plan year 2023
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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 $12,955
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Independence Blue Cross | — | 131 | Schedule A not provided |
| Medical | Independence Blue Cross | — | 131 | Schedule A not provided |
| Medical | Keystone | — | 84 | Schedule A not provided |
| Medical | Keystone | — | 84 | Schedule A not provided |
| Dental | United Concordia Dental Plans Of Pennsylvania, Inc | — | 17 | Schedule A not provided |
| Dental | United Concordia Insurance Company | — | 180 | Schedule A not provided |
| Vision | Metropolitan Life Insurance Company | Lockton Companies, LLC | 131 | $75 5.6% of $1,347 |
| Life | Sun Life Assurance Company Of Canada | Lockton Companies, LLC | 33 | $951 20.0% of $4,760 |
| Accident, Cancer | Aflac | Jacqueline M. Eberz | 10 | $69 4.4% of $1,565 |
| Accident, Cancer | Aflac | Jason C. Kostik | 10 | $57 3.6% of $1,565 |
| Accident, Cancer | Aflac | Edward F. Mrowka Jr | 10 | $25 1.6% of $1,565 |
| Accident, Cancer | Aflac | Andrew J. Junkiewicz Jr And Others | 10 | $12 0.8% of $1,565 |
| Accident, Cancer | Aflac | Matthew G. Berger | 10 | $7 0.4% of $1,565 |
| Accident, Cancer | Aflac | Joseph B. Mcginty Jr | 10 | $6 0.4% of $1,565 |
| Accident, Cancer | Aflac | Conlon And Associates, LLC | 10 | $6 0.4% of $1,565 |
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.