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Employer
113 E. Reliance Rd, Souderton, PA 18964 · EIN 23-1667111 · 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 $18,643
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Cigna Health And Life Insurance Company | Graham Company Marsh & Mclennan | 59 | $374 5.0% of $7,480 |
| Medical | Cigna Health And Life Insurance Company | Graham Company Marsh & Mclennan | 55 | $687 5.0% of $13,742 |
| Medical | Cigna Health And Life Insurance Company | Graham Company Marsh & Mclennan | 57 | $397 5.0% of $7,947 |
| Life | Life Insurance Company Of North America | The Graham Company | 217 | $5,483 13.2% of $41,383 |
| Life | Life Insurance Company Of North America | James R Nelligan & Associates | 217 | $2,741 6.6% of $41,383 |
| Life | Life Insurance Company Of North America | James R Nelligan & Associates | 217 | $1,194 2.9% of $41,383 |
| Employee Assistance Program | Penn Foundation | — | 258 | Comp not disclosed Premium $6,316 |
| Other | Life Insurance Company Of North America | The Graham Company | 14 | $1,236 12.2% of $10,119 |
| Other | Life Insurance Company Of North America | James R Nelligan & Associates | 14 | $618 6.1% of $10,119 |
| Other | Life Insurance Company Of North America | James R Nelligan & Associates | 14 | $211 2.1% of $10,119 |
| Other | Life Insurance Company Of North America | The Graham Company | 47 | $1,336 15.7% of $8,521 |
| Other | Life Insurance Company Of North America | James R Nelligan & Associates | 47 | $668 7.8% of $8,521 |
| Other | Life Insurance Company Of North America | James R Nelligan & Associates | 47 | $418 4.9% of $8,521 |
| Other | Life Insurance Company Of North America | The Graham Company | 35 | $2,223 19.5% of $11,371 |
| Other | Life Insurance Company Of North America | James R Nelligan & Associates | 35 | $741 6.5% of $11,371 |
| Other | Life Insurance Company Of North America | James R Nelligan & Associates | 35 | $316 2.8% of $11,371 |
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.