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Employer
400 Rouse Boulevard, Philadelphia, PA 19112 · EIN 22-3560033 · 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 $52,722
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Cigna Health And Life Insurance Company And Affiliates | — | 713 | Comp not disclosed Premium $7,270,890 |
| Medical | Kaiser Foundation Health Plan, Inc. | — | 32 | Comp not disclosed Premium $330,626 |
| Dental | Metropolitan Life Insurance Company | Gis Benefits Inc | 1264 | $14,871 2.7% of $551,605 |
| Dental | Metropolitan Life Insurance Company | Aon Consulting, Inc. | 1264 | $2,714 0.5% of $551,605 |
| Vision | Vision Service Plan | — | 642 | Comp not disclosed Premium $62,736 |
| Life | Lincoln National Life Insurance Company | Gis Benefits | 333 | $2,803 5.0% of $56,058 |
| Life | Lincoln National Life Insurance Company | Aon Consulting, Inc. | 333 | $841 1.5% of $56,058 |
| Other | Lincoln National Life Insurance Company | Gis Benefits | 283 | $1,612 5.0% of $32,230 |
| Other | Lincoln National Life Insurance Company | Aon Consulting, Inc. | 283 | $483 1.5% of $32,230 |
| Accident, Critical Illness And Hospital Indemnity | Reliastar Life Insurance Company | Custom Benefit Programs Inc | 834 | $13,958 18.8% of $74,360 |
| Accident, Critical Illness And Hospital Indemnity | Reliastar Life Insurance Company | Gis Benefits Inc. | 834 | $11,940 16.1% of $74,360 |
| Accident, Critical Illness And Hospital Indemnity | Reliastar Life Insurance Company | Aon Consulting, Inc. | 834 | $1,160 1.6% of $74,360 |
| Accident, Critical Illness And Hospital Indemnity | Reliastar Life Insurance Company | T2b Solutions Inc. | 834 | $235 0.3% of $74,360 |
| Other | Lincoln National Life Insurance Company | Aon Consulting, Inc. | 360 | $1,055 5.0% of $20,999 |
| Other | Lincoln National Life Insurance Company | Gis Benefits | 360 | $1,050 5.0% of $20,999 |
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.