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Employer
2727 Commerce Way, Philadelphia, PA 19154 · EIN 55-0798087 · Oct 1, 2024 to Sep 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 $31,546
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Swiss Re-Swiss Re | — | — | Comp not disclosed Premium $420,114 |
| Dental + Vision | Starmount Life Insurance Company | Kistler Tiffany Benefits Co | 265 | $16,773 13.7% of $122,267 |
| Dental + Vision | Starmount Life Insurance Company | Onedigital Premier Services | 265 | $10,064 8.2% of $122,267 |
| Life | Colonial Life & Accident Insurance Company | Digital Insurance, Inc. | 20 | $833 4.1% of $20,352 |
| Life | Colonial Life & Accident Insurance Company | Ardena L Mcvicker | 20 | $173 0.9% of $20,352 |
| Life | Colonial Life & Accident Insurance Company | Petrina Skiles | 20 | $138 0.7% of $20,352 |
| Life | Colonial Life & Accident Insurance Company | Js Benefits Group Inc | 20 | $121 0.6% of $20,352 |
| Life | Colonial Life & Accident Insurance Company | Harry Love | 20 | $96 0.5% of $20,352 |
| Life | Colonial Life & Accident Insurance Company | Benechoice Enrollment Solutions & T | 20 | $79 0.4% of $20,352 |
| Life | Colonial Life & Accident Insurance Company | Integrity Insurance Inc | 20 | $60 0.3% of $20,352 |
| Life | Colonial Life & Accident Insurance Company | Marsh & Mclennan Agency, LLC East | 20 | $55 0.3% of $20,352 |
| Life | Colonial Life & Accident Insurance Company | Merridith Stanton | 20 | $49 0.2% of $20,352 |
| Life | Colonial Life & Accident Insurance Company | Teresa Burns | 20 | $43 0.2% of $20,352 |
| Life | Colonial Life & Accident Insurance Company | Julia George | 20 | $36 0.2% of $20,352 |
| Life | Colonial Life & Accident Insurance Company | Harmony Benefits LLC | 20 | $25 0.1% of $20,352 |
| Life | Colonial Life & Accident Insurance Company | National Enrollment Partners LLC | 20 | $15 0.1% of $20,352 |
| Life | Colonial Life & Accident Insurance Company | Donald C Savoy Inc. Ta Savoy Assoc | 20 | $10 0.0% of $20,352 |
| Life | Unum Life Insurance Company Of America | Kistler Tiffany Benefits Co | 362 | $1,860 13.8% of $13,458 |
| Life | Unum Life Insurance Company Of America | Onedigital Premier Services | 362 | $1,116 8.3% of $13,458 |
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.