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Employer
1200 Wilson Drive, West Chester, PA 19380 · EIN 23-2414041 · 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 $776,006
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | HM Life Insurance Company | — | 2549 | Comp not disclosed Premium $858,943 |
| Stop-loss | HM Life Insurance Company | — | 3957 | Comp not disclosed Premium $1,321,100 |
| Medical | Cigna Health And Life Insurance Company | — | 23 | Comp not disclosed Premium $257,019 |
| Medical | Kaiser Foundation Health Plan Inc. | — | 559 | Schedule A not provided |
| Medical | Kaiser Foundation Health Plan Inc. | — | 559 | Schedule A not provided |
| Medical | Kaiser Foundation Health Plan Of Washington | — | 1 | Schedule A not provided |
| Dental | Delta Dental Of Pennsylvania | — | 12187 | Comp not disclosed Premium $4,431,657 |
| Vision | Eyemed | — | 10520 | Schedule A not provided |
| Life | Metropolitan Life Insurance Company | Strategic Non-Medical Solutions LLC | 9136 | $109,819 6.7% of $1,650,143 |
| Life | Metropolitan Life Insurance Company | Strategic Non-Medical Solutions LLC | 9136 | $17,847 1.1% of $1,650,143 |
| Life | Metropolitan Life Insurance Company | Strategic Non-Medical Solutions LLC | 2122 | $31,610 6.6% of $476,140 |
| Life | Metropolitan Life Insurance Company | Strategic Non-Medical Solutions LLC | 2122 | $4,611 1.0% of $476,140 |
| Life | Metropolitan Life Insurance Company | Strategic Non-Medical Solutions LLC | 2723 | $46,682 7.0% of $664,077 |
| Life | Metropolitan Life Insurance Company | Strategic Non-Medical Solutions LLC | 2723 | $7,683 1.2% of $664,077 |
| Life | Life Insurance Company Of North America | — | 23 | Comp not disclosed Premium $244 |
| Life | Metropolitan Life Insurance Company | — | 23 | Comp not disclosed Premium $796 |
| Eap And Core Services | Health Advocate Solutions, Inc. | — | 20113 | Schedule A not provided |
| Acc | Reliastar Life Insurance Company | Willis Towers Watson Us LLC | 3958 | $95,681 26.9% of $355,230 |
| Ci | Reliastar Life Insurance Company | Willis Towers Watson Us LLC | 2337 | $159,101 27.6% of $576,484 |
| Hi | Reliastar Life Insurance Company | Willis Towers Watson Us LLC | 3732 | $144,509 27.6% of $524,395 |
| Accidental Death & Dismemberment | National Union Fire Ins. Co. Of Pittsburgh, Pa | — | 9332 | Schedule A not provided |
| Other | New York Life Group Insurance Company Of New York | — | 55 | Schedule A not provided |
| Other | Life Insurance Company Of North America | — | 7988 | Schedule A not provided |
| Other | Life Insurance Company Of North America | — | 7988 | Schedule A not provided |
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.