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Employer
308 E Lancaster Avenue, Wynnewood, PA 19096 · EIN 47-2271359 · Jul 1, 2024 to Jun 30, 2025
Plan year 2024
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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 $77,989
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Unum Life Insurance Company Of America | World Insurance Associates LLC | 17 | $3,440 9.3% of $36,944 |
| Medical | Independence Blue Cross | Kistler Tiffany Benefits Co | 165 | $41,238 3.7% of $1,125,904 |
| Dental + Vision | The Guardian Life Insurance Company Of America | Kistler Tiffany Benefits Co | 92 | $9,998 13.9% of $72,111 |
| Dental + Vision | The Guardian Life Insurance Company Of America | Onedigital Premier Services Ll | 92 | $3,606 5.0% of $72,111 |
| Life | United Of Omaha Life Insurance Company | Kistler Tiffany Benefits Co | 106 | $3,722 21.2% of $17,518 |
| Life | United Of Omaha Life Insurance Company | Onedigital Premier Services LLC | 106 | $876 5.0% of $17,518 |
| Life | United Of Omaha Life Insurance Company | Kistler Tiffany Benefits Co | 28 | $1,417 22.8% of $6,219 |
| Life | United Of Omaha Life Insurance Company | Onedigital Premier Services LLC | 28 | $311 5.0% of $6,219 |
| Other | Independence Blue Cross | Kistler Tiffany Benefits Co | 10 | $13 0.0% of $29,894 |
| Other | United Of Omaha Life Insurance Company | Kistler Tiffany Benefits Co | 106 | $6,096 21.0% of $28,967 |
| Other | United Of Omaha Life Insurance Company | Onedigital Premier Services LLC | 106 | $1,448 5.0% of $28,967 |
| Other | United Of Omaha Life Insurance Company | Kistler Tiffany Benefits Co | 106 | $4,712 21.2% of $22,239 |
| Other | United Of Omaha Life Insurance Company | Onedigital Premier Services LLC | 106 | $1,112 5.0% of $22,239 |
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.