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Employer
50 Monument Road, Suite 303, Bala Cynwyd, PA 19004 · EIN 86-2313467 · 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 $58,449
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Dental | Standard Insurance Company | Willis Towers Watson Northeast, Inc | 381 | $22,737 10.9% of $209,272 |
| Dental | Standard Insurance Company | Willis Towers Watson Us LLC | 381 | $441 0.2% of $209,272 |
| Vision | Heartland | Willis Towers Watson Northeast, Inc | 527 | $2,745 10.0% of $27,452 |
| Life | Transamerica Life Insurance Company | Willis Towers Watson | 366 | $5,911 27.1% of $21,824 |
| Legal | Arag Insurance Company | Willis Towers Watson | 40 | $733 13.0% of $5,635 |
| Legal | Arag Insurance Company | Common Census, Inc. | 40 | $5 0.1% of $5,635 |
| Life | Reliance Standard Life Insurance Company | Willis Towers Watson Northeast, Inc | 439 | $5,115 10.0% of $51,147 |
| Life | Reliance Standard Life Insurance Company | Willis Towers Watson | 439 | $257 0.5% of $51,147 |
| Other | Reliance Standard Life Insurance Company | Willis Towers Watson Northeast, Inc | 419 | $20,007 15.0% of $133,379 |
| Other | Reliance Standard Life Insurance Company | Willis Towers Watson | 419 | $498 0.4% of $133,379 |
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.