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Employer
185 Titus Avenue, Warrington, PA 18976 · EIN 83-2134543 · Jan 1, 2024 to Dec 31, 2024
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 $41,022
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Dental | Cigna Health And Life Insurance Company | Alliant Insurance Services, Inc. | 160 | $3,950 4.9% of $80,321 |
| Vision | Highmark, Inc. | — | 231 | Comp not disclosed Premium $21,715 |
| Life | The Lincoln National Life Insurance Company | Alliant Insurance Services, Inc. | 200 | $1,679 15.0% of $11,196 |
| Life | Hartford Life And Accident | Alliant Insurance Services, Inc. | 201 | $15,472 19.7% of $78,666 |
| Life | Hartford Life And Accident | Alliant Ins Svcs Houston LLC | 201 | $2,092 2.7% of $78,666 |
| Life | Hartford Life And Accident | Alliant Insurance Services, Inc. | 201 | $237 0.3% of $78,666 |
| Other | The Lincoln National Life Insurance Company | Alliant Insurance Services, Inc. | 200 | $10,994 15.0% of $73,291 |
| Other | The Lincoln National Life Insurance Company | Alliant Insurance Services, Inc. | 200 | $6,598 15.0% of $43,989 |
| Stop-loss | Everest Reinsurance Company | — | — | Comp not disclosed Premium $305 |
| Stop-loss | HM Life Insurance Company | — | 159 | Comp not disclosed Premium $888,080 |
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.
Visible subtotal $97,196
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| The Benecon Group | Broker | $30,912 | $194.42 |
| Alliant Insurance Services, Inc. | Broker | $20,653 | $129.89 |
| Meritain Health, An Aetna Company | Admin | $32,514 | $204.49 |
| ConnectCare3 | Patient Advocate | $13,117 | $82.50 |