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Employer
935 First Avenue, King Of Prussia, PA 19406 · EIN 04-2958132 · May 1, 2024 to Apr 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 $116,800
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Unitedhealthcare Insurance Company | Willis Of New Jersey Inc | 3 | $1,830 9.1% of $20,151 |
| Life | Life Insurance Company Of North America | — | 3072 | Comp not disclosed Premium $654,083 |
| Employee Assistance Program | Aetna Behavioral Health, LLC | — | 3583 | Comp not disclosed Premium $58,308 |
| Hospital Indemnity | Metropolitan Life Insurance Company | Willis Of New Jersey Inc | 834 | $27,359 19.4% of $141,029 |
| Hospital Indemnity | Metropolitan Life Insurance Company | Willis Of New Jersey Inc | 834 | $2,893 2.1% of $141,029 |
| Hospital Indemnity | Metropolitan Life Insurance Company | Custom Benefit Programs Inc | 834 | $2,028 1.4% of $141,029 |
| Hospital Indemnity | Metropolitan Life Insurance Company | Liazon Benefits Inc | 834 | $34 0.0% of $141,029 |
| Employee Assistance Program | Health And Human Resource Center | — | 511 | Comp not disclosed Premium $6,361 |
| Other | Life Insurance Company Of North America | — | 3072 | Comp not disclosed Premium $1,202,186 |
| Other | Life Insurance Company Of North America | — | 3072 | Comp not disclosed Premium $1,418,953 |
| Accidental Death And Dismemberment | Life Insurance Company Of North America | — | 3072 | Comp not disclosed Premium $66,108 |
| Critical Illness | Metropolitan Life Insurance Company | Willis Of New Jersey Inc. | 697 | $46,618 19.2% of $242,344 |
| Critical Illness | Metropolitan Life Insurance Company | Willis Of New Jersey Inc | 697 | $4,892 2.0% of $242,344 |
| Critical Illness | Metropolitan Life Insurance Company | Custom Benefit Programs Inc. | 697 | $3,524 1.5% of $242,344 |
| Critical Illness | Metropolitan Life Insurance Company | Liazon Benefits Inc | 697 | $75 0.0% of $242,344 |
| Business Travel Accident | Ace American Insurance Company | Willis Towers Watson Us LLC | 3072 | $900 20.0% of $4,498 |
| Accident | Metropolitan Life Insurance Company | Willis Of New Jersey Inc | 1067 | $19,046 19.4% of $98,369 |
| Accident | Metropolitan Life Insurance Company | Willis Of New Jersey Inc | 1067 | $2,010 2.0% of $98,369 |
| Accident | Metropolitan Life Insurance Company | Custom Benefit Programs Inc. | 1067 | $1,449 1.5% of $98,369 |
| Accident | Metropolitan Life Insurance Company | Liazon Benefits Inc | 1067 | $34 0.0% of $98,369 |
| Legal | Metlife Legal Plans | Willis Of New Jersey | 157 | $2,329 7.1% of $32,722 |
| Legal | Metlife Legal Plans | Aon Consulting, Inc. | 157 | $1,779 5.4% of $32,722 |
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.