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Employer
3375 Progress Drive, Bensalem, PA 19020 · EIN 20-2433641 · Oct 1, 2024 to Sep 30, 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 $46,242
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Reliance Standard Life Insurance Company | Conner Strong & Buckelew Companies | 8 | $371 20.9% of $1,773 |
| Medical | Reliance Standard Life Insurance Company | Conner Strong & Buckelew Companies | 6 | $547 21.0% of $2,610 |
| Medical | Independence Blue Cross | Conner Strong & Buckelew Companies | 149 | $25,022 3.9% of $639,224 |
| Medical | Independence Blue Cross | Conner Strong & Buckelew Companies | 149 | $11,224 2.2% of $518,768 |
| Medical | Reliance Standard Life Insurance Company | Conner Strong & Buckelew Companies | 7 | $437 20.8% of $2,096 |
| Dental | Cigna Health And Life Insurance Company | Conner Strong & Buckelew Companies | 192 | $2,384 4.9% of $48,310 |
| Vision | Eyemed Vision Care (Fidelity Security Life Insurance Company) | Conner Strong & Buckelew Companies | 99 | $645 10.2% of $6,342 |
| Life | Reliance Standard Life Insurance Company | Conner Strong & Buckelew Companies | 96 | $1,054 10.9% of $9,652 |
| Life | Reliance Standard Life Insurance Company | Conner Strong & Buckelew Companies | 24 | $1,391 15.9% of $8,744 |
| Voluntary Accidental Death And Dismemberment | Reliance Standard Life Insurance Company | Conner Strong & Buckelew Companies | 46 | $128 15.9% of $803 |
| Voluntary Long Term Disability | Reliance Standard Life Insurance Company | Conner Strong & Buckelew Companies | 17 | $1,140 8.9% of $12,793 |
| Other | Reliance Standard Life Insurance Company | Conner Strong & Buckelew Companies | 96 | $1,731 8.9% of $19,383 |
| Voluntary Accidental Death And Dismemberment | Reliance Standard Life Insurance Company | Conner Strong & Buckelew Companies | 96 | $168 10.9% of $1,538 |
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.