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2415 N Broad Street, Philadelphia, PA 19132 · EIN 23-2555950 · Jul 1, 2024 to Jun 30, 2025

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 $186,582

CoverageCarrierBrokerLivesDirect comp
MedicalIndependence Blue CrossTrion A Marsh & Mclennan Agy LLC Co345
$66,196
2.8% of $2,366,716
MedicalIndependence Blue CrossWilliam A Graham Company345
$227
0.0% of $2,366,716
MedicalPrudential Insurance Company Of AmericaMarsh & Mclennan Agency, LLC East493
$60,112
16.9% of $356,244
MedicalPrudential Insurance Company Of AmericaMarsh & Mclennan Agency, LLC East493
$46,114
12.9% of $356,244
MedicalPrudential Insurance Company Of AmericaJames R Nelligan & Associates493
$10,428
2.9% of $356,244
VisionVision Benefits Of AmericaMarsh & Mclennan Companies, Inc.260
$731
5.0% of $14,618
OtherIndependence Blue CrossTrion A Marsh & Mclennan Agy LLC Co235
$2,774
0.4% of $625,652

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.