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Employer
40 Liberty Boulevard, Malvern, PA 19355 · EIN 22-2417778 · 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 $220,701
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Cigna Health And Life Insurance Company | — | 32 | Comp not disclosed Premium $166,675 |
| Medical | Hawaii Medical Service Association | — | 9 | Comp not disclosed Premium $100,940 |
| Medical | Kaiser Foundation Health Plan, Inc. | — | 293 | Comp not disclosed Premium $2,294,689 |
| Medical | Kaiser Foundation Health Plan, Inc. | — | 1512 | Comp not disclosed Premium $11,400,172 |
| Dental | Delta Dental Of Pennsylvania | — | 2173 | Comp not disclosed Premium $491,630 |
| Vision | Eyemed Vision Care | — | 36411 | Comp not disclosed Premium $1,892,032 |
| Life | Hartford Life And Accident | Aon Consulting, Inc. | 17043 | $92,461 1.2% of $7,608,610 |
| Life | Hartford Life And Accident | Aon Risk Service Central, Inc. | 17043 | $13,925 0.2% of $7,608,610 |
| Life | Hartford Life And Accident | Aon Risk Solutions Of Puerto Rico | 31 | $1,160 11.2% of $10,368 |
| Life | Hartford Life And Accident | Aon Consulting, Inc. | 31 | $127 1.2% of $10,368 |
| Life | Hartford Life And Accident | Aon Risk Service Central, Inc. | 31 | $21 0.2% of $10,368 |
| Accidental Death And Dismemberment | Hartford Life And Accident | Aon Consulting, Inc. | 29279 | $9,893 1.4% of $704,600 |
| Other | Lincoln National Life Insurance Company | Aon Consulting, Inc. | 16634 | $102,615 1.3% of $7,887,474 |
| Business Travel Accident | Life Insurance Company Of North America | Strategic Non-Medical Solutions LLC | 16385 | $499 1.1% of $47,297 |
| Critical Illnes | Continental American Insurance Company | — | 13455 | Comp not disclosed Premium $286,289 |
| Vision | Eyemed Vision Care | — | 36411 | Comp not disclosed Premium $1,892,032 |
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.