Employer
Philadelphia Fight
1233 Locust Street, 5th Floor, Philadelphia, PA 19107 · EIN 23-2625934 · Jan 1, 2024 to Dec 31, 2024
Plan year 2024
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Schedule A
Direct compensation
Coverage contracts on the filing. If the carrier did not provide Schedule A, the row is listed with that note.
Visible subtotal $154,359
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Keystone | Gallagher Fiduciary Advisors, LLC | 158 | $73,057 3.9% of $1,893,852 |
| Medical | Independence Blue Cross | Gallagher Fiduciary Advisors, LLC | 64 | $43,429 5.3% of $823,315 |
| Dental | Cigna Health And Life Insurance Company And Affiliates | Gallagher Fiduciary Advisors, LLC | 174 | $7,810 6.9% of $112,917 |
| Vision | Vision Benefits Of America | Gallagher Fiduciary Advisors, LLC | 159 | $768 4.5% of $17,062 |
| Life | Sun Life Assurance Company Of Canada | Gallagher Fiduciary Advisors, LLC | 187 | $27,852 15.3% of $182,371 |
| Employee Assistance Program | Penn Behavioral Health Corporate Services | — | 250 | Comp not disclosed Premium $5,750 |
| Long Term Care | Unum Life Insurance Company Of America | Gallagher Fiduciary Advisors, LLC | 71 | $1,443 10.0% of $14,429 |
Schedule C
Additional compensation
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.