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Employer
39 East Forrest Ave., # 12, Shrewsbury, PA 17361 · EIN 37-1508850 · Oct 1, 2024 to Sep 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 $132,107
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Cigna Health And Life Insurance Company And Affiliates | Hilb Group Of Maryland | 188 | $77,685 5.2% of $1,501,643 |
| Medical | Cigna Health And Life Insurance Company And Affiliates | Amwins Connect Administrators Inc | 188 | $32,264 2.1% of $1,501,643 |
| Life | United Of Omaha Life Insurance Company | Hilb Group Of Maryland | 238 | $3,238 9.8% of $33,118 |
| Life | United Of Omaha Life Insurance Company | Hilb Group Of Maryland | 238 | $1,467 4.4% of $33,118 |
| Life | United Of Omaha Life Insurance Company | Amwins Connect Administrators Inc | 238 | $994 3.0% of $33,118 |
| Other | United Of Omaha Life Insurance Company | Hilb Group Of Maryland | 238 | $4,476 9.8% of $45,861 |
| Other | United Of Omaha Life Insurance Company | Hilb Group Of Maryland | 238 | $2,113 4.6% of $45,861 |
| Other | United Of Omaha Life Insurance Company | Amwins Connect Administrators Inc | 238 | $1,376 3.0% of $45,861 |
| Other | United Of Omaha Life Insurance Company | Hilb Group Of Maryland | 238 | $4,800 9.7% of $49,419 |
| Other | United Of Omaha Life Insurance Company | Hilb Group Of Maryland | 238 | $2,211 4.5% of $49,419 |
| Other | United Of Omaha Life Insurance Company | Amwins Connect Administrators Inc | 238 | $1,483 3.0% of $49,419 |
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.