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Employer
P.O. Box 1540, Newtown, PA 18940 · EIN 23-1737774 · Jan 1, 2025 to Dec 31, 2025
Plan year 2025
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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 $130,035
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Cigna Health And Life Insurance Company | Kelly Benefit Strategies | 241 | $96,393 3.2% of $3,013,567 |
| Medical | Cigna Health And Life Insurance Company | Pentra, LLC, An Alera Group Agency | 241 | $17,683 0.6% of $3,013,567 |
| Medical | Cigna Health And Life Insurance Company | Kelly & Assoc Ins Group | 52 | $2,009 16.8% of $11,983 |
| Medical | Cigna Health And Life Insurance Company | Kelly & Assoc Ins Group | 66 | $1,778 16.9% of $10,550 |
| Medical | Cigna Health And Life Insurance Company | Kelly & Assoc Ins Group | 49 | $1,994 16.7% of $11,931 |
| Vision | Vision Service Plan | Kelly & Associates Insurance Group | 149 | $1,029 5.8% of $17,597 |
| Life | Life Insurance Company Of North America | — | 331 | Comp not disclosed Premium $50,698 |
| Life | Transamerica Life Insurance Company | Kelly & Associates Insurance | 16 | $4,286 46.2% of $9,278 |
| AD&D | Life Insurance Company Of North America | Kelly And Associates Insurance | 233 | $276 10.0% of $2,759 |
| Other | Life Insurance Company Of North America | — | 239 | Comp not disclosed Premium $42,914 |
| Other | Life Insurance Company Of North America | Kelly And Associates Insurance | 61 | $3,480 10.0% of $34,802 |
| Legal | Metlife Legal Plans | Kelly Benefits Strategies | 23 | $605 13.3% of $4,563 |
| Legal | Metlife Legal Plans | Kelly Benefits Strategies | 23 | $502 11.0% of $4,563 |
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.