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Employer
501 Office Center Drive, Fort Washington, PA 19034 · EIN 83-1204744 · 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 $476,799
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Kaiser Foundation Health Plan, Inc. | — | 52 | Comp not disclosed Premium $323,260 |
| Medical | Kaiser Foundation Health Plan, Inc | — | 56 | Comp not disclosed Premium $328,637 |
| Vision | Principal Life Insurance Company | Patriot Growth Insurance Services | 3025 | $23,566 11.2% of $210,379 |
| Life | Transamerica Life Insurance Company | Voluntary Benefits Specialists LLC | 185 | $107,554 29.4% of $365,346 |
| Life | United Of Omaha Life Insurance Company | Patriot Growth Insurance Services | 988 | $26,130 14.0% of $187,306 |
| Life | United Of Omaha Life Insurance Company | Patriot Growth Insurance Services | 988 | $21,306 11.4% of $187,306 |
| Life | United Of Omaha Life Insurance Company | Gi George Parent Lp | 988 | $7,035 3.8% of $187,306 |
| Life | United Of Omaha Life Insurance Company | Patriot Growth Insurance Services | 2061 | $27,093 13.8% of $195,953 |
| Life | United Of Omaha Life Insurance Company | Patriot Growth Insurance Services | 2061 | $21,625 11.0% of $195,953 |
| Life | United Of Omaha Life Insurance Company | Fmla Source Inc | 2061 | $35,620 18.2% of $195,953 |
| Life | United Of Omaha Life Insurance Company | Gi George Parent Lp | 2061 | $7,025 3.6% of $195,953 |
| Employee Assistance Program | Healthjoy, LLC | — | 2061 | Comp not disclosed Premium $33,285 |
| Legal Services Plan Membeships | Pre-Paid Legal Services Inc. DBA Legal Shield | M. Rogers Group LLC | 342 | $11,078 17.0% of $65,166 |
| Legal Services Plan Membeships | Pre-Paid Legal Services Inc. DBA Legal Shield | Success Strategies Inc | 342 | $652 1.0% of $65,166 |
| Legal Services Plan Membeships | Pre-Paid Legal Services Inc. DBA Legal Shield | Geoff Cragg | 342 | $489 0.8% of $65,166 |
| Legal Services Plan Membeships | Pre-Paid Legal Services Inc. DBA Legal Shield | Dorsey & Associates, Inc. | 342 | $163 0.3% of $65,166 |
| Other | United Of Omaha Life Insurance Company | Patriot Growth Insurance Services | 2061 | $110,356 11.9% of $923,908 |
| Other | United Of Omaha Life Insurance Company | Patriot Growth Insurance Services | 2061 | $45,730 4.9% of $923,908 |
| Other | United Of Omaha Life Insurance Company | Gi George Parent Lp | 2061 | $31,377 3.4% of $923,908 |
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.