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Employer
415 West Willow Grove Avenue, Philadelphia, PA 19118 · EIN 23-0969420 · 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 $22,761
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Accident, Critical Illness, Hospital | Metropolitan Life Insurance Company | Johnson, Kendall & Johnson Inc | 9 | $646 8.9% of $7,227 |
| Accident, Critical Illness, Hospital | Metropolitan Life Insurance Company | Lockton Companies, LLC | 9 | $421 5.8% of $7,227 |
| Accident, Critical Illness, Hospital | Metropolitan Life Insurance Company | Lockton Companies, LLC | 9 | $7 0.1% of $7,227 |
| Accident, Critical Illness, Hospital | Metropolitan Life Insurance Company | Liazon Benefits, Inc. | 9 | $-251 -3.5% of $7,227 |
| Employee Assistance Program | Bhs | — | 100 | Comp not disclosed Premium $3,336 |
| Dental + Vision | Unitedhealthcare Insurance Company | Lockton Companies, LLC | 236 | $4,578 5.0% of $91,627 |
| Life | Metropolitan Life Insurance Company | Lockton Companies, LLC | 221 | $13,440 27.1% of $49,537 |
| Life | Metropolitan Life Insurance Company | Johnson, Kendall & Johnson Inc | 221 | $2,768 5.6% of $49,537 |
| Life | Metropolitan Life Insurance Company | Lockton Companies, LLC | 221 | $1,150 2.3% of $49,537 |
| Life | Metropolitan Life Insurance Company | Lockton Companies, LLC | 221 | $2 0.0% of $49,537 |
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.