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Employer
503 N. Easton Road, Glenside, PA 19038 · EIN 23-2434079 · Jul 1, 2024 to Jun 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 $121,883
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Keystone Health Plan East | Marsh & Mclennan Agency, LLC East | 199 | $46,562 2.2% of $2,077,342 |
| Medical | Independence Blue Cross | Marsh & Mclennan Agency, LLC East | 65 | $24,621 2.7% of $901,750 |
| Vision | Fidelity Security Life Insurance Company - Avesis | Marsh & Mclennan Agency, LLC East | 185 | $1,129 10.0% of $11,272 |
| Life | Unum Life Insurance Company Of America | Plan Source Benefit Administrators | 663 | $2,866 1.0% of $286,649 |
| Life | Unum Life Insurance Company Of America | Marsh & Mclennan Agency, LLC East | 663 | $6,885 2.4% of $286,649 |
| Other | Unum Life Insurance Company Of America | Marsh & Mclennan Agency, LLC East | 167 | $18,620 17.4% of $107,034 |
| Other | Unum Life Insurance Company Of America | Plan Source Benefit Administrators | 167 | $1,070 1.0% of $107,034 |
| Accident, Critical Illness | Unum-Provident Life & Accident Insurance Company | Marsh & Mclennan Agency, LLC East | 42 | $1,086 5.6% of $19,248 |
| Accident, Critical Illness | Unum-Provident Life & Accident Insurance Company | Plan Source Benefit Administrators | 42 | $193 1.0% of $19,248 |
| Accident, Critical Illness, Hospital Indemnity | Unum Life Insurance Company Of America | Marsh & Mclennan Agency, LLC East | 258 | $18,288 30.0% of $60,982 |
| Accident, Critical Illness, Hospital Indemnity | Unum Life Insurance Company Of America | Plan Source Benefit Administrators | 258 | $563 0.9% of $60,982 |
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.