Employer
Save Philly Stores, Lp
1550 Garrett Road, Upper Darby, PA 19082 · EIN 27-1983336 · Jul 1, 2024 to Jun 30, 2025
Plan year 2024
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Schedule A
Direct compensation
Coverage contracts on the filing. If the carrier did not provide Schedule A, the row is listed with that note.
Visible subtotal $15,306
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Everest Reinsurance Company | — | — | Comp not disclosed Premium $1,143 |
| Stop-loss | Fair American Insurance And Reinsurance Company | — | 60 | Comp not disclosed Premium $390,889 |
| Medical | Principal Life Insurance Company | Tycor Benefit Administrators, Inc. | 181 | $9,759 7.6% of $129,164 |
| Medical | Principal Life Insurance Company | Emerson Reid LLC | 181 | $5,547 4.3% of $129,164 |
Schedule C
Additional compensation
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.
Visible subtotal $58,885
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Tycor Benefit Administrators | Broker | $29,920 | $482.58 |
| The Benecon Group,LLC | Broker | $19,006 | $306.55 |
| Meritain Health, An Aetna Company | Admin | $9,959 | $160.63 |