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Employer
2000 Am Drive, Quakertown, PA 18951 · EIN 23-2660285 · Jan 1, 2024 to Dec 31, 2024
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 $145,686
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Independence Blue Cross | Kistler Tiffany Benefits Co | 89 | $35,910 4.7% of $764,329 |
| Medical | Keystone Health Plan East | Kistler Tiffany Benefits Co | 240 | $80,627 4.3% of $1,868,936 |
| Dental | The Guardian Life Insurance Company Of America | Onedigital (Philadelphia) | 211 | $18,159 11.9% of $152,494 |
| Dental | The Guardian Life Insurance Company Of America | Onedigital Premier Services | 211 | $7,625 5.0% of $152,494 |
| Other | Madison National Life Insurance Company | Thomas J Ingelsby | 212 | $917 6.7% of $13,593 |
| Other | Madison National Life Insurance Company | William O Daggett Jr | 212 | $646 4.8% of $13,593 |
| Other | Madison National Life Insurance Company | Vincent Greto | 212 | $408 3.0% of $13,593 |
| Other | Madison National Life Insurance Company | Kimberly Graff | 212 | $204 1.5% of $13,593 |
| Other | Madison National Life Insurance Company | North American Benefits Co | 212 | $918 6.8% of $13,593 |
| Other | Madison National Life Insurance Company | Onedigital (Philadelphia) | 212 | $272 2.0% of $13,593 |
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.