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Employer
2005 Market Street, Philadelphia, PA 19103 · EIN 23-3075151 · 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 $151,124
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Independence Blue Cross | Nfp Corporate Services (Pa), Inc. | 239 | $93,707 4.6% of $2,023,012 |
| Medical | Independence Blue Cross | Conner Strong & Buckelew Companies | 239 | $44,920 2.2% of $2,023,012 |
| Medical | Delta Dental Of Pennsylvania | Nfp Corporate Services (Pa), Inc. | 10 | $113 4.0% of $2,844 |
| Dental | Delta Dental Of Pennsylvania | — | 261 | Schedule A not provided |
| Vision | National Vision Adminsitrators | Nfp Corporate Services (Pa), Inc. | 210 | $1,729 9.3% of $18,680 |
| Vision | National Vision Adminsitrators | Conner Strong & Buckelew Companies | 210 | $139 0.7% of $18,680 |
| Life | Life Insurance Company Of North America | Conner Strong & Buckelew Companies | 146 | $462 3.2% of $14,307 |
| Life | Life Insurance Company Of North America | Nfp Corporate Services (Pa), Inc. | 82 | $2,575 5.9% of $43,712 |
| Life | Life Insurance Company Of North America | Conner Strong & Buckelew Companies | 82 | $1,958 4.5% of $43,712 |
| AD&D | Life Insurance Company Of North America | Nfp Corporate Services (Pa), Inc. | 36 | $355 10.3% of $3,433 |
| AD&D | Life Insurance Company Of North America | Conner Strong & Buckelew Companies | 36 | $140 4.1% of $3,433 |
| AD&D | Life Insurance Company Of North America | Conner Strong & Buckelew Companies | 146 | $116 3.2% of $3,577 |
| Other | Life Insurance Company Of North America | Conner Strong & Buckelew Companies | 146 | $1,262 3.3% of $38,541 |
| Business Travel Accident | Life Insurance Company Of North America | — | 146 | Comp not disclosed Premium $950 |
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.