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Employer
550 East Swedesford Road, Wayne, PA 19087 · EIN 23-2018130 · Jan 1, 2023 to Dec 31, 2023
Plan year 2023
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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 $300,378
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Independence Blue Cross - Blue Cross | — | 1078 | Schedule A not provided |
| Medical | Independence Blue Cross - Personal Choice | Mercer (Us), Inc. | 2239 | $232,709 1.4% of $16,449,779 |
| Dental | Cigna Health And Life Insurance Company And Affiliates | Mercer (Us), Inc. | 970 | $383 0.0% of $966,687 |
| Vision | Fidelity Security Life Insurance Company | — | 1798 | Comp not disclosed Premium $127,899 |
| Vision | Fidelity Security Life Insurance Company | — | 4 | Comp not disclosed Premium $310 |
| Vision | Fidelity Security Life Insurance Company | — | 69 | Comp not disclosed Premium $6,921 |
| Life | Life Insurance Company Of North America | — | 1078 | Schedule A not provided |
| Life | Life Insurance Company Of North America | — | 1078 | Schedule A not provided |
| Employee Assistance Program | Carebridge Corporation | — | 1219 | Comp not disclosed Premium $13,945 |
| Accidental Death And Dismemberment | Life Insurance Company Of North America | — | 1078 | Schedule A not provided |
| Other | Life Insurance Company Of North America | — | 1078 | Schedule A not provided |
| Other | Independence Blue Cross - Drug | — | 1078 | Schedule A not provided |
| Critical Illness | Life Insurance Company Of North America | — | 1078 | Schedule A not provided |
| Critical Illness | Life Insurance Company Of North America | — | 1078 | Schedule A not provided |
| Accident | Life Insurance Company Of North America | — | 1078 | Schedule A not provided |
| Accident | Life Insurance Company Of North America | — | 1078 | Schedule A not provided |
| Hospital Indemnity | Life Insurance Company Of North America | Mercer Health & Benefits, LLC | 1078 | $13,935 15.0% of $92,903 |
| Hospital Indemnity | Life Insurance Company Of North America | Mercer (Us), Inc. | 1078 | $1,194 1.3% of $92,903 |
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.