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Employer
145 James Way, Southampton, PA 18966 · EIN 23-1475225 · 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 $156,854
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Independence Blue Cross | Assured Partners (Central Pa) | 229 | $94,095 4.2% of $2,245,009 |
| Dental | Delta Dental Of Pennsylvania | Assured Partners (Central Pa) | 217 | $5,941 5.0% of $118,932 |
| Vision | Eyemed Vision Care | Assured Partners (Central Pa) | 192 | $2,479 10.7% of $23,159 |
| Life | The Lincoln National Life Insurance Company | Assured Partners (Central Pa) | 262 | $5,709 12.0% of $47,572 |
| Life | The Lincoln National Life Insurance Company | Assured Partners (Central Pa) | 262 | $3,956 8.3% of $47,572 |
| Other | The Lincoln National Life Insurance Company | Assured Partners (Central Pa) | 250 | $14,696 15.0% of $97,973 |
| Other | The Lincoln National Life Insurance Company | Assured Partners (Central Pa) | 250 | $7,952 8.1% of $97,973 |
| Other | The Lincoln National Life Insurance Company | Assured Partners (Central Pa) | 250 | $5,614 15.0% of $37,424 |
| Other | The Lincoln National Life Insurance Company | Assured Partners (Central Pa) | 250 | $3,039 8.1% of $37,424 |
| Vol Child Life, Vol Spouse Life, Voluntary Life | The Lincoln National Life Insurance Company | Assured Partners (Central Pa) | 84 | $5,961 15.0% of $39,741 |
| Vol Child Life, Vol Spouse Life, Voluntary Life | The Lincoln National Life Insurance Company | Assured Partners (Central Pa) | 84 | $3,137 7.9% of $39,741 |
| Accident, Critical Illness, Hospital Indemnity | Reliastar Life Insurance Company | Assured Partners (Central Pa) | 27 | $4,275 23.6% of $18,120 |
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.