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Employer
900 Rutter Avenue, Box 22, Forty Fort, PA 18704 · EIN 27-4194494 · Jun 1, 2024 to May 31, 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 $79,283
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Cigna Health And Life Insurance Company | Aon Consulting, Inc. | 175 | $45,877 5.0% of $917,523 |
| Dental | The Lincoln National Life Insurance Company | Aon Consulting, Inc. | 125 | $10,552 9.2% of $115,270 |
| Dental | The Lincoln National Life Insurance Company | Aon Consulting, Inc. | 125 | $2,059 1.8% of $115,270 |
| Dental | The Lincoln National Life Insurance Company | Bsi Corporate Benefits, Inc. | 125 | $975 0.8% of $115,270 |
| Vision | Eyemed Vision Care On Behalf Of Fidelity Security Life Insurance Co. | Aon Hewitt - Radnor, Pa | 253 | $1,831 10.0% of $18,335 |
| Life | The Lincoln National Life Insurance Company | Aon Consulting, Inc. | 152 | $1,984 9.1% of $21,727 |
| Life | The Lincoln National Life Insurance Company | Aon Consulting, Inc. | 152 | $406 1.9% of $21,727 |
| Life | The Lincoln National Life Insurance Company | Bsi Corporate Benefits, Inc. | 152 | $189 0.9% of $21,727 |
| Legal | Metlife Legal Plans | Aon Consulting, Inc. | 19 | $560 8.6% of $6,521 |
| Legal | Metlife Legal Plans | Aon Consulting, Inc. | 19 | $111 1.7% of $6,521 |
| Legal | Metlife Legal Plans | Aon Consulting, Inc. | 19 | $67 1.0% of $6,521 |
| Legal | Metlife Legal Plans | Bsi Corporate Benefits, Inc. | 19 | $50 0.8% of $6,521 |
| Legal | Metlife Legal Plans | Aon Consulting, Inc. | 19 | $42 0.6% of $6,521 |
| Other | The Lincoln National Life Insurance Company | Aon Consulting, Inc. | 152 | $1,346 9.1% of $14,740 |
| Other | The Lincoln National Life Insurance Company | Aon Consulting, Inc. | 152 | $275 1.9% of $14,740 |
| Other | The Lincoln National Life Insurance Company | Bsi Corporate Benefits, Inc. | 152 | $128 0.9% of $14,740 |
| Other | The Lincoln National Life Insurance Company | Aon Consulting, Inc. | 152 | $7,236 9.1% of $79,232 |
| Other | The Lincoln National Life Insurance Company | Aon Consulting, Inc. | 152 | $1,475 1.9% of $79,232 |
| Other | The Lincoln National Life Insurance Company | Bsi Corporate Benefits, Inc. | 152 | $688 0.9% of $79,232 |
| Critical Illness | Metropolitan Life Insurance Company | Aon Consulting, Inc. | 38 | $1,833 20.3% of $9,036 |
| Critical Illness | Metropolitan Life Insurance Company | Aon Consulting, Inc. | 38 | $150 1.7% of $9,036 |
| Critical Illness | Metropolitan Life Insurance Company | Aon Consulting, Inc. | 38 | $15 0.2% of $9,036 |
| Accident | Metropolitan Life Insurance Company | Aon Consulting, Inc. | 44 | $1,318 20.7% of $6,372 |
| Accident | Metropolitan Life Insurance Company | Aon Consulting, Inc. | 44 | $105 1.6% of $6,372 |
| Accident | Metropolitan Life Insurance Company | Aon Consulting, Inc. | 44 | $11 0.2% of $6,372 |
| Telemedicine | Healthiest You | — | — | Schedule A not provided |
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.