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Employer
1 North Washington Street, Telford, PA 18969 · EIN 23-2853248 · 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 $167,518
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Sun Life Assurance Company | Patriot | 107 | $59,102 10.6% of $557,927 |
| Stop-loss | Sun Life Assurance Company | The Benecon Group, Inc. | 107 | $29,255 5.2% of $557,927 |
| Stop-loss | Sun Life Assurance Company | Independence Administrators (Ia) | 107 | $24,958 4.5% of $557,927 |
| Stop-loss | Sun Life Assurance Company | Revivehealth, Inc. | 107 | $15,379 2.8% of $557,927 |
| Dental + Vision | Metropolitan Life Insurance Company | Patriot Growth Insurance Services | 401 | $19,310 8.8% of $218,920 |
| Dental + Vision | Metropolitan Life Insurance Company | James R Nelligan & Associates | 401 | $13,155 6.0% of $218,920 |
| Dental + Vision | Metropolitan Life Insurance Company | Gallagher Fiduciary Advisors, LLC | 401 | $5,802 2.7% of $218,920 |
| Dental + Vision | Metropolitan Life Insurance Company | Gallagher Fiduciary Advisors, LLC | 401 | $502 0.2% of $218,920 |
| Dental + Vision | Metropolitan Life Insurance Company | Patriot (The Safegard Group, Inc.) | 401 | $55 0.0% of $218,920 |
| Employee Assistance Program | Curalinc LLC | — | 272 | Schedule A not provided |
| Telehealth | Revive Health, Inc. | — | 272 | Schedule A not provided |
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.