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Employer
1700 Byberry Rd, Bensalem, PA 19020 · EIN 23-1887049 · Jan 1, 2024 to Dec 31, 2024
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 $78,055
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Independence Blue Cross | Kistler Tiffany Benefits Co | 85 | $52,546 2.5% of $2,118,685 |
| Dental | United Concordia Comapnies Inc | Kistler Tiffany Benefits Co | 87 | $6,910 10.3% of $67,353 |
| Life | Guardian | Kistler Tiffany Benefits Co | 104 | $9,772 14.3% of $68,422 |
| Life | Guardian | Amerihealth Administrators, Inc. | 104 | $1,368 2.0% of $68,422 |
| Cancer, Intensive Care, Accident, Hospitalization | Aflac | Timothy J Goulet | 46 | $100 0.2% of $57,030 |
| Cancer, Intensive Care, Accident, Hospitalization | Aflac | Bradley S Jones | 46 | $108 0.2% of $57,030 |
| Cancer, Intensive Care, Accident, Hospitalization | Aflac | Robert W Vestal | 46 | $117 0.2% of $57,030 |
| Cancer, Intensive Care, Accident, Hospitalization | Aflac | Bonnie H Drobnes | 46 | $185 0.3% of $57,030 |
| Cancer, Intensive Care, Accident, Hospitalization | Aflac | Kistler Tiffany Bene Gen Agy LLC | 46 | $196 0.3% of $57,030 |
| Cancer, Intensive Care, Accident, Hospitalization | Aflac | Eric R Macdougall | 46 | $224 0.4% of $57,030 |
| Cancer, Intensive Care, Accident, Hospitalization | Aflac | Main Line Benefit Solutions LLC | 46 | $252 0.4% of $57,030 |
| Cancer, Intensive Care, Accident, Hospitalization | Aflac | Michele L Bogrette | 46 | $264 0.5% of $57,030 |
| Cancer, Intensive Care, Accident, Hospitalization | Aflac | Acrisure Wallstreet Partners LLC | 46 | $267 0.5% of $57,030 |
| Cancer, Intensive Care, Accident, Hospitalization | Aflac | Michael Hecht | 46 | $274 0.5% of $57,030 |
| Cancer, Intensive Care, Accident, Hospitalization | Aflac | Nancy Amicon | 46 | $323 0.6% of $57,030 |
| Cancer, Intensive Care, Accident, Hospitalization | Aflac | Conlan & Associates LLC | 46 | $318 0.6% of $57,030 |
| Cancer, Intensive Care, Accident, Hospitalization | Aflac | Donald J Controy Jr | 46 | $761 1.3% of $57,030 |
| Cancer, Intensive Care, Accident, Hospitalization | Aflac | Digital Insurance, Inc. | 46 | $1,054 1.8% of $57,030 |
| Cancer, Intensive Care, Accident, Hospitalization | Aflac | Thomas B Davis | 46 | $2,470 4.3% of $57,030 |
| Cancer, Intensive Care, Accident, Hospitalization | Aflac | Sean G Higgins | 46 | $1 0.0% of $57,030 |
| Cancer, Intensive Care, Accident, Hospitalization | Aflac | Laurie L Smith | 46 | $2 0.0% of $57,030 |
| Cancer, Intensive Care, Accident, Hospitalization | Aflac | Carolyn Morrison | 46 | $5 0.0% of $57,030 |
| Cancer, Intensive Care, Accident, Hospitalization | Aflac | James M Pitz | 46 | $6 0.0% of $57,030 |
| Cancer, Intensive Care, Accident, Hospitalization | Aflac | Darren D Riddle | 46 | $10 0.0% of $57,030 |
| Cancer, Intensive Care, Accident, Hospitalization | Aflac | Deborah L Poppert | 46 | $10 0.0% of $57,030 |
| Cancer, Intensive Care, Accident, Hospitalization | Aflac | Ryan K Goldberg | 46 | $12 0.0% of $57,030 |
| Cancer, Intensive Care, Accident, Hospitalization | Aflac | Mary Kaye Washo | 46 | $12 0.0% of $57,030 |
| Cancer, Intensive Care, Accident, Hospitalization | Aflac | Martin E Bystrom | 46 | $19 0.0% of $57,030 |
| Cancer, Intensive Care, Accident, Hospitalization | Aflac | Angela Umosella | 46 | $21 0.0% of $57,030 |
| Cancer, Intensive Care, Accident, Hospitalization | Aflac | Nancy L Crew | 46 | $22 0.0% of $57,030 |
| Cancer, Intensive Care, Accident, Hospitalization | Aflac | Joann Hartsock | 46 | $43 0.1% of $57,030 |
| Cancer, Intensive Care, Accident, Hospitalization | Aflac | Matthew G Berger | 46 | $99 0.2% of $57,030 |
| Cancer, Intensive Care, Accident, Hospitalization | Aflac | John J Ferrante | 46 | $60 0.1% of $57,030 |
| Cancer, Intensive Care, Accident, Hospitalization | Aflac | James M Mcelderry | 46 | $62 0.1% of $57,030 |
| Cancer, Intensive Care, Accident, Hospitalization | Aflac | Cynthia Mueller | 46 | $67 0.1% of $57,030 |
| Cancer, Intensive Care, Accident, Hospitalization | Aflac | Andrew J Junikiewicz Jr | 46 | $95 0.2% of $57,030 |
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.