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Employer
4 Radnor Corporate Center, Radnor, PA 19087 · EIN 20-3058793 · Sep 1, 2021 to Aug 31, 2022
Plan year 2021
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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 $185,161
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Dental | Metropolitan Life Insurance Company | Kelly & Associates Insurance Group | 736 | $28,704 5.3% of $545,700 |
| Vision | Vision Service Plan | Kelly & Associates Insurance Group | 705 | $2,370 2.8% of $85,280 |
| Life | United Of Omaha Life Insurance Company | Kelly & Associates Insurance Group | 867 | $20,132 9.0% of $224,555 |
| AD&D | United Of Omaha Life Insurance Company | Kelly & Associates Insurance Group | 355 | $22,183 11.4% of $194,142 |
| Critical Illness, Accident, Hospital Indemnity | Continental American Insurance Company | Kelly & Associates Insurance Group | 622 | $61,590 31.5% of $195,278 |
| Legal | Metlife Legal Plans | Kelly & Associaties Insurance Group | 62 | $1,136 10.0% of $11,368 |
| Other | United Of Omaha Life Insurance Company | Kelly & Associates Insurance Group | 222 | $10,092 9.7% of $104,266 |
| Other | United Of Omaha Life Insurance Company | Kelly & Associates Insurance Group | 295 | $14,062 7.5% of $188,328 |
| Transplant | United Healthcare Insurance Company | Kelly & Associates Insurance Group | 739 | $6,809 7.5% of $90,670 |
| Other | United Of Omaha Life Insurance Company | Kelly & Associates Insurance Group | 181 | $11,766 9.7% of $121,181 |
| Other | United Of Omaha Life Insurance Company | Kelly & Associates Insurance Group | 179 | $6,317 12.7% of $49,841 |
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.