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Employer
1400 N Providence Road, Media, PA 19063 · EIN 81-3946362 · Dec 1, 2024 to Nov 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 $217,396
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Independence Blue Cross | Emerson Rogers LLC | 287 | $148,797 6.4% of $2,322,115 |
| Medical | Unum Insurance Company | Maven Benefits Partners | 83 | $2,321 14.6% of $15,917 |
| Medical | Unum Insurance Company | Ecbm, Lp | 83 | $294 1.8% of $15,917 |
| Medical | Unum Insurance Company | Centro Benefits Research LLC | 83 | $98 0.6% of $15,917 |
| Medical | Unum Insurance Company | Maven Benefits Partners | 95 | $3,763 13.8% of $27,342 |
| Medical | Unum Insurance Company | Ecbm, Lp | 95 | $685 2.5% of $27,342 |
| Medical | Unum Insurance Company | Centro Benefits Research LLC | 95 | $228 0.8% of $27,342 |
| Dental | Starmount Life Insurance Company | Maven Benefits Partners | 179 | $12,239 9.6% of $127,065 |
| Dental | Starmount Life Insurance Company | Ecbm, Lp | 179 | $2,099 1.7% of $127,065 |
| Dental | Starmount Life Insurance Company | Centro Benefits Research LLC | 179 | $1,050 0.8% of $127,065 |
| Vision | Independence Blue Cross | Emerson Rogers LLC | 287 | $3,840 9.7% of $39,544 |
| Life | Unum Life Insurance Company Of America | Maven Benefits Partners | 207 | $26,774 16.3% of $164,512 |
| Life | Unum Life Insurance Company Of America | Ecbm, Lp | 207 | $4,928 3.0% of $164,512 |
| Life | Unum Life Insurance Company Of America | Centro Benefits Research LLC | 207 | $1,369 0.8% of $164,512 |
| Life | Unum Life Insurance Company Of America | Maven Benefits Partners | 99 | $4,106 13.9% of $29,584 |
| Life | Unum Life Insurance Company Of America | Ecbm, Lp | 99 | $724 2.4% of $29,584 |
| Life | Unum Life Insurance Company Of America | Centro Benefits Research LLC | 99 | $241 0.8% of $29,584 |
| Other | Independence Blue Cross | Emerson Rogers LLC | 287 | $3,840 0.6% of $605,723 |
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.
Visible subtotal $4,414
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Interflex Payments, LLC | None | $4,414 | $15.38 |