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Employer
4 Creek Parkway, Boothwyn, PA 19061 · EIN 51-0269822 · Jan 1, 2023 to Dec 31, 2023
Plan year 2023
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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 $88,910
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Dental | The Guardian Life Insurance Company Of America | Professional Pensions Inc. | 459 | $15,474 5.0% of $309,479 |
| Dental | The Guardian Life Insurance Company Of America | Patriot Growth Insurance Service | 459 | $6,642 2.1% of $309,479 |
| Vision | Vision Benefits Of America | Patriot (Exude, Inc.) | 478 | $1,654 5.0% of $33,087 |
| Life | United Of Omaha Life Insurance Company | Patriot Growth Insurance Svcs LLC | 576 | $3,418 7.7% of $44,595 |
| Life | United Of Omaha Life Insurance Company | Professional Pensions Inc. | 576 | $2,230 5.0% of $44,595 |
| Life | United Of Omaha Life Insurance Company | Patriot (Exude, Inc.) | 576 | $1,734 3.9% of $44,595 |
| Life | United Of Omaha Life Insurance Company | Patriot Growth Insurance Svcs LLC | 576 | $633 1.4% of $44,595 |
| Life | United Of Omaha Life Insurance Company | Patriot Growth Insurance Svcs LLC | 168 | $4,020 5.1% of $78,164 |
| Life | United Of Omaha Life Insurance Company | Professional Pensions Inc. | 168 | $3,908 5.0% of $78,164 |
| Life | United Of Omaha Life Insurance Company | Patriot (Exude, Inc.) | 168 | $3,589 4.6% of $78,164 |
| Life | United Of Omaha Life Insurance Company | Patriot Growth Insurance Svcs LLC | 168 | $1,291 1.7% of $78,164 |
| Other | United Of Omaha Life Insurance Company | Professional Pensions Inc. | 566 | $12,626 5.0% of $252,528 |
| Other | United Of Omaha Life Insurance Company | Ecude Benefits Group Inc. | 566 | $9,458 3.7% of $252,528 |
| Other | United Of Omaha Life Insurance Company | Patriot Growth Insurance Svcs LLC | 566 | $4,472 1.8% of $252,528 |
| Other | United Of Omaha Life Insurance Company | Patriot Growth Insurance Svcs LLC | 566 | $4,203 1.7% of $252,528 |
| Other | United Of Omaha Life Insurance Company | Patriot (Exude, Inc.) | 566 | $2,040 0.8% of $252,528 |
| Employee Assistance Program | First Call | — | 750 | Comp not disclosed Premium $16,080 |
| Other | United Of Omaha Life Insurance Company | Patriot Growth Insurance Svcs LLC | 784 | $3,886 5.8% of $67,020 |
| Other | United Of Omaha Life Insurance Company | Professional Pensions Inc. | 784 | $3,351 5.0% of $67,020 |
| Other | United Of Omaha Life Insurance Company | Patriot (Exude, Inc.) | 784 | $3,205 4.8% of $67,020 |
| Other | United Of Omaha Life Insurance Company | Patriot Growth Insurance Svcs LLC | 784 | $1,076 1.6% of $67,020 |
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.