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Employer
165 Lincoln Highway, Fairless Hills, PA 19030 · EIN 23-2284744 · 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 $79,085
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Independent Blue Cross | Acrisure Mid-Atlantic Ptr Ins Svcs | 117 | $44,534 5.3% of $836,747 |
| Medical | Independence Blue Cross | Acrisure Mid-Atlantic Ptr Ins Svcs | 50 | $23,488 6.0% of $392,544 |
| Vision | Independent Blue Cross | Acrisure Mid-Atlantic Ptr Ins Svcs | 167 | $3,380 1.7% of $203,462 |
| Life | United Of Omaha Life Insurance Company | Acrisure, LLC DBA Ashton Benefits | 183 | $958 22.1% of $4,330 |
| Life | United Of Omaha Life Insurance Company | Group Benefits Ltd | 183 | $216 5.0% of $4,330 |
| Other | Independence Blue Cross | — | 50 | Comp not disclosed Premium $74,258 |
| Other | United Of Omaha Life Insurance Company | Acrisure, LLC DBA Ashton Benefits | 137 | $1,746 17.2% of $10,154 |
| Other | United Of Omaha Life Insurance Company | Group Benefits Ltd | 137 | $508 5.0% of $10,154 |
| Other | United Of Omaha Life Insurance Company | Acrisure, LLC DBA Ashton Benefits | 185 | $3,587 26.9% of $13,355 |
| Other | United Of Omaha Life Insurance Company | Group Benefits Ltd | 185 | $668 5.0% of $13,355 |
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.