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Employer
1489 Baltimore Pike, Springfield, PA 19064 · EIN 45-0519545 · Oct 1, 2024 to Jul 31, 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 $104,168
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Independence Blue Cross | Onedigital (Philadelphia) | 66 | $51,764 5.6% of $918,581 |
| Dental | Metropolitan Life Insurance Company | Creative Benefits, Inc | 128 | $2,656 5.2% of $51,396 |
| Vision | Vision Benefits Of America | Creative Benefits, Inc | 39 | $1,035 10.0% of $10,351 |
| Life | Unum Life Insurance Company Of America | Creative Benefits, Inc | 39 | $3,093 15.0% of $20,619 |
| Life | Life Insurance Company Of North America | Creative Benefits, Inc | 14 | $560 17.5% of $3,203 |
| AD&D | Life Insurance Company Of North America | Creative Benefits, Inc | 14 | $68 17.5% of $388 |
| Other | Independence Blue Cross | Onedigital (Philadelphia) | 54 | $239 0.1% of $185,558 |
| Voluntary Long-Term Disability | Life Insurance Company Of North America | Creative Benefits, Inc | 14 | $2,465 18.7% of $13,175 |
| Accident, Critical Illness | Unum Life Insurance Company Of America | Employee Family Protection Inc | 268 | $11,476 27.8% of $41,351 |
| Accident, Critical Illness | Unum Life Insurance Company Of America | Creative Benefits, Inc | 268 | $2,509 6.1% of $41,351 |
| Other | Unum Life Insurance Company Of America | Creative Benefits, Inc | 11 | $1,848 12.9% of $14,347 |
| Employee Assistance Program | Employee Network, Inc. | — | 580 | Comp not disclosed Premium $5,501 |
| Whole Life | Provident Life And Accident Insurance Company | Employee Family Protection Inc | 325 | $21,308 26.2% of $81,483 |
| Whole Life | Provident Life And Accident Insurance Company | Cretive Benefits, Inc. | 325 | $3,869 4.7% of $81,483 |
| Other | Life Insurance Company Of North America | Creative Benefits, Inc | 14 | $1,278 18.8% of $6,789 |
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.