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Employer
50 Beech Drive, Norristown, PA 19403 · EIN 23-1894907 · 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 $31,657
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Dental | United Concordia Insurance Company | — | 149 | Schedule A not provided |
| Dental | United Concordia Insurance Company | — | 149 | Schedule A not provided |
| Vision | Eye Med | Univest Insurance, LLC | 144 | $1,318 19.6% of $6,720 |
| Vision | Eye Med | Emerson Rogers LLC | 144 | $1,318 19.6% of $6,720 |
| Life | United Of Omaha Life Insurance Company | Emerson Rogers LLC | 98 | $2,579 23.9% of $10,784 |
| Voluntary Term Life | United Of Omaha Life Insurance Company | Emerson Rogers LLC | 45 | $5,406 23.2% of $23,304 |
| Other | United Of Omaha Life Insurance Company | Emerson Rogers LLC | 98 | $6,818 23.9% of $28,519 |
| Other | United Of Omaha Life Insurance Company | Emerson Rogers LLC | 98 | $5,135 23.4% of $21,903 |
| Accident, Child Critical Illness, Employee Critical Illness, Spouse Critical Illness | Sun Life Assurance Company Of Canada | Univest Insurance, LLC | 12 | $992 9.1% of $10,903 |
| Accident, Child Critical Illness, Employee Critical Illness, Spouse Critical Illness | Sun Life Assurance Company Of Canada | Emerson Rogers LLC | 12 | $773 7.1% of $10,903 |
| Stop-loss | Sun Life Assurance Company | — | 73 | Comp not disclosed Premium $545,880 |
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.
Visible subtotal $106,583
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Univest Insurance | Broker | $52,635 | $548.28 |
| The Benecon Group | Broker | $24,710 | $257.40 |
| Independant Administrators (Ia) | Carrier | $16,797 | $174.97 |
| Revivehealth, Inc. | Other | $12,441 | $129.59 |