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Employer
1818 Market Street, Philadelphia, PA 19103 · EIN 45-3537934 · Mar 1, 2022 to Feb 28, 2023
Plan year 2022
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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 $62,843
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Reliance Standard Life Insurance Company | Conner Strong & Buckelew Companies | 9 | $19,260 12.5% of $154,076 |
| Medical | Reliance Standard Life Insurance Company | Conner Strong & Buckelew Companies | 3 | $23,767 12.5% of $190,133 |
| Medical | Reliance Standard Life Insurance Company | — | 12 | Comp not disclosed Premium $44,560 |
| Medical | Unum Insurance Company | Conner Strong & Buckelew Companies | 89 | $3,744 19.9% of $18,829 |
| Dental | Starmount Life Insurance Company | Conner Strong & Buckelew Companies | 280 | $6,202 10.0% of $62,022 |
| Vision | Eyemed Vision Care (Fidelity Security Life Insurance Company) | Conner Strong & Buckelew Companies | 24 | $1,005 10.8% of $9,313 |
| Vision | Eyemed Vision Care (Fidelity Security Life Insurance Company) | Conner Strong & Buckelew Companies | — | $18 11.6% of $155 |
| Life | Unum Life Insurance Company Of America | — | 150 | Comp not disclosed Premium $23,759 |
| Life | Reliance Standard Life Insurance Company | Conner Strong & Buckelew Companies | 1 | $407 10.0% of $4,069 |
| Life | Reliance Standard Life Insurance Company | Conner Strong & Buckelew Companies | 1 | $1,854 10.0% of $18,538 |
| Life | Unum Life Insurance Company Of America | Conner Strong & Buckelew Companies | 45 | $1,319 17.7% of $7,461 |
| Hospital | Unum Insurance Company | Conner Strong & Buckelew Companies | 82 | $5,267 19.9% of $26,468 |
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.