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Employer
4 Ivybrook Boulevard, Warminster, PA 18974 · EIN 23-2054431 · 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 $77,547
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | The Guardian Life Insurance Company Of America | Kistler Tiffany Benefits Co | 54 | $1,728 27.9% of $6,199 |
| Medical | The Guardian Life Insurance Company Of America | Amerihealth Administrators, Inc. | 54 | $124 2.0% of $6,199 |
| Medical | Independence Blue Cross | Kistler Tiffany Benefits Co | 130 | $25,434 3.6% of $715,254 |
| Medical | Independence Blue Cross Keystone | Kistler Tiffany Benefits Co | 5 | $2,312 3.4% of $68,283 |
| Medical | Four Ever Life Ins Co. | Hardenbergh Insurance Group, Inc. | 9 | $6,107 7.5% of $81,422 |
| Medical | Four Ever Life Ins Co. | Kistler Tiffany Benefits Co | 9 | $407 0.5% of $81,422 |
| Medical | Independence Blue Cross | Kistler Tiffany Benefits Co | 108 | $2,560 1.3% of $200,091 |
| Dental | Metropolitan Life Insurance Company | Onedigital (Philadelphia) | 209 | $6,433 10.0% of $64,330 |
| Dental | Metropolitan Life Insurance Company | Onedigital Premier Services LLC | 209 | $3,266 5.1% of $64,330 |
| Dental | Metropolitan Life Insurance Company | Onedigital (Philadelphia) | 209 | $461 0.7% of $64,330 |
| Life | Hartford Life And Accident | Onedigital (Philadelphia) | 120 | $7,968 5.4% of $148,473 |
| Life | Hartford Life And Accident | Onedigital Premier Services LLC | 120 | $7,221 4.9% of $148,473 |
| Other | Benecard Services, LLC | Hardenburgh Insurance Group | 53 | $13,526 6.0% of $225,429 |
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.