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Employer
300 Conshohocken State Road, West Conshohocken, PA 19428 · EIN 23-2511871 · 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 $638,521
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Blue Care Network Of Michigan | Marsh & Mclennan Agency, LLC East | 170 | $21,753 2.8% of $774,383 |
| Medical | Blue Cross Blue Shield Of Florida | Marsh & Mclennan Agency, LLC East | 11 | $13,963 6.0% of $232,716 |
| Medical | Health Options | Marsh & Mclennan Agency, LLC East | 65 | $69,548 6.0% of $1,159,133 |
| Medical | Cigna Health And Life Insurance Company | — | 4950 | Comp not disclosed Premium $614,883 |
| Medical | Cigna Health And Life Insurance Company | Marsh & Mclennan Agency, LLC East | 6 | $27,047 10.0% of $270,466 |
| Medical | Mcs Life Insurance Company | Fulcro Insurance Inc | 103 | $40,548 5.0% of $803,010 |
| Medical | Mcs Life Insurance Company | Cgf Insurance LLC | 103 | $6,202 0.8% of $803,010 |
| Medical | Safeguard Health Plans, Inc. | Marsh & Mclennan Agency, LLC East | 37 | $1,220 17.3% of $7,072 |
| Medical | Kaiser Foundation Health Plan Inc. | Marsh & Mclennan Agency, LLC East | 13 | $5,462 4.3% of $127,855 |
| Medical | Selecthealth | Marsh & Mclennan Agency, LLC East | 73 | $21,870 2.3% of $950,863 |
| Medical | Blue Cross Blue Shield Of Kansas | — | — | Schedule A not provided |
| Medical | Hawaii Medical Service Association | — | 78 | Comp not disclosed Premium $1,090,862 |
| Dental | Metropolitan Life Insurance Company | Marsh & Mclennan Agency, LLC East | 126 | $12,162 12.6% of $96,249 |
| Dental | Metropolitan Life Insurance Company | Plansource Benefits Administration | 126 | $-825 -0.9% of $96,249 |
| Vision | Vision Service Plan | Marsh & Mclennan Agency, LLC East | 40 | $312 10.0% of $3,124 |
| Vision | Humana Insurance Company | Marsh & Mclennan Agency, LLC East | 65 | $1,021 10.0% of $10,217 |
| Life | Triple-S Vida, Inc. | Fulcro Insurance, Inc. | 111 | $11,907 15.1% of $78,929 |
| Life | Triple-S Vida, Inc. | Innova Insurance Services Inc | 111 | $3,946 5.0% of $78,929 |
| Life | Reliance Standard Life Insurance Company | Marsh & Mclennan Agency, LLC East | 4446 | $92,173 12.9% of $714,061 |
| Life | Reliance Standard Life Insurance Company | Marsh & Mclennan Agency, LLC East | 939 | $55,712 12.9% of $430,237 |
| Accident | Cigna Health And Life Insurance Company | Marsh & Mclennan Agency, LLC East | 1236 | $33,671 21.1% of $159,699 |
| Accidental Death And Dismemberment | Reliance Standard Life Insurance Company | Marsh & Mclennan Agency, LLC East | 3045 | $14,812 17.9% of $82,851 |
| Other | Reliance Standard Life Insurance Company | Marsh & Mclennan Agency, LLC East | 2601 | $29,258 9.0% of $325,745 |
| Other | Reliance Standard Life Insurance Company | Marsh & Mclennan Agency, LLC East | 642 | $7,508 6.2% of $120,636 |
| Accidental Death And Dismemberment | Chlic For The Benefit Of Metlife | Marsh & Mclennan Agency, LLC East | 6 | $5,993 |
| Other | Reliance Standard Life Insurance Company | Marsh & Mclennan Agency, LLC East | 120 | $1,944 5.4% of $36,133 |
| Voluntary Benefits | Colonial Life & Accident Insurance Company | See Attached | 21 | $7,112 31.6% of $22,532 |
| Critical Illness | Cigna Health And Life Insurance Company | Marsh & Mclennan Agency, LLC East | 1419 | $73,153 21.1% of $346,729 |
| Hospital Indemnity | Cigna Health And Life Insurance Company | Marsh & Mclennan Agency, LLC East | 709 | $40,010 21.1% of $189,485 |
| Other | Hartford Life And Accident | Marsh & Mclennan Agency, LLC East | 418 | $41,039 23.4% of $175,745 |
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.