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Employer
1100 1st Avenue, King Of Prussia, PA 19406 · EIN 25-1535405 · Aug 1, 2024 to Jul 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 $629,151
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Personal Choice | Onedigital (Philadelphia) | 810 | $332,898 4.8% of $6,993,315 |
| Life | Reliance Standard Life Insurance Company | Creative Benefits, Inc | 50 | $48,088 25.4% of $188,993 |
| Life | Reliance Standard Life Insurance Company | Gis Benefits Inc | 50 | $5,664 3.0% of $188,993 |
| Life | Reliance Standard Life Insurance Company | Elite Group LLC | 50 | $225 0.1% of $188,993 |
| AD&D | Reliance Standard Life Insurance Company | Creative Benefits, Inc | 20 | $11,271 25.0% of $45,155 |
| AD&D | Reliance Standard Life Insurance Company | Gis Benefits Inc | 20 | $1,321 2.9% of $45,155 |
| AD&D | Reliance Standard Life Insurance Company | Elite Group LLC | 20 | $18 0.0% of $45,155 |
| Accident | Reliance Standard Life Insurance Company | Creative Benefits, Inc | 380 | $13,047 17.2% of $75,808 |
| Accident | Reliance Standard Life Insurance Company | Gis Benefits Inc | 380 | $7,529 9.9% of $75,808 |
| Accident | Reliance Standard Life Insurance Company | Gis Benefits, Inc. | 380 | $3,372 4.4% of $75,808 |
| Accident | Reliance Standard Life Insurance Company | Elite Group LLC | 380 | $12 0.0% of $75,808 |
| Other | Reliance Standard Life Insurance Company | Creative Benefits, Inc | 48 | $49,128 20.3% of $242,102 |
| Other | Reliance Standard Life Insurance Company | Gis Benefits, Inc. | 48 | $7,143 3.0% of $242,102 |
| Other | Reliance Standard Life Insurance Company | Elite Group LLC | 48 | $143 0.1% of $242,102 |
| Other | Reliance Standard Life Insurance Company | Creative Benefits, Inc | 101 | $16,105 10.4% of $154,839 |
| Other | Reliance Standard Life Insurance Company | Gis Benefits, Inc. | 101 | $4,158 2.7% of $154,839 |
| Other | Reliance Standard Life Insurance Company | Elite Group LLC | 101 | $42 0.0% of $154,839 |
| Voluntary Short-Term Disability | Reliance Standard Life Insurance Company | Creative Benefits, Inc | 46 | $68,433 25.3% of $270,117 |
| Voluntary Short-Term Disability | Reliance Standard Life Insurance Company | Gis Benefits, Inc. | 46 | $7,552 2.8% of $270,117 |
| Voluntary Short-Term Disability | Reliance Standard Life Insurance Company | Elite Group LLC | 46 | $161 0.1% of $270,117 |
| Critical Illness | Reliance Standard Life Insurance Company | Creative Benefits, Inc | 501 | $17,084 12.7% of $134,074 |
| Critical Illness | Reliance Standard Life Insurance Company | Gis Benefits, Inc. | 501 | $12,039 9.0% of $134,074 |
| Critical Illness | Reliance Standard Life Insurance Company | Gis Benefits Inc | 501 | $3,473 2.6% of $134,074 |
| Critical Illness | Reliance Standard Life Insurance Company | Elite Group LLC | 501 | $7 0.0% of $134,074 |
| Other | Rxbenefits, Inc. | — | 814 | Comp not disclosed Premium $1,827,163 |
| Hospital Indemnity | Reliance Standard Life Insurance Company | Creative Benefits, Inc | 231 | $10,035 12.4% of $80,785 |
| Hospital Indemnity | Reliance Standard Life Insurance Company | Gis Benefits, Inc. | 231 | $7,825 9.7% of $80,785 |
| Hospital Indemnity | Reliance Standard Life Insurance Company | Gis Benefits Inc | 231 | $2,256 2.8% of $80,785 |
| Hospital Indemnity | Reliance Standard Life Insurance Company | Elite Group LLC | 231 | $122 0.2% of $80,785 |
| EAP | Carebridge Corporation | — | 1244 | Comp not disclosed Premium $17,976 |
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.