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Employer
1475 Phoenixville Pk, West Chester, PA 19380 · EIN 35-2206217 · May 1, 2024 to Apr 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 $190,547
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Cigna Health And Life Insurance Company | Pcf Insurance Srvcs Of The West LLC | 437 | $111,088 8.9% of $1,243,643 |
| Medical | Cigna Health And Life Insurance Company | Kistler Tiffany Benefits Co | 437 | $48,431 3.9% of $1,243,643 |
| Vision | Eyemed Vision Care | Pcf Insurance Services Of The West | 557 | $3,059 9.8% of $31,088 |
| Vision | Eyemed Vision Care | Pcf Insurance Services Of The West | 104 | $547 9.9% of $5,516 |
| AD&D | Reliance Standard | Pcf Insurance Services Of The West | 305 | $837 16.7% of $5,024 |
| AD&D | Reliance Standard | Pcf Insurance Services Of The West | 589 | $1,158 16.7% of $6,939 |
| Voluntary Ltd | Reliance Standard | Pcf Insurance Services Of The West | 265 | $5,853 16.7% of $34,992 |
| Voluntary Std | Reliance Standard | Pcf Insurance Services Of The West | 192 | $9,246 11.9% of $77,659 |
| Voluntary Accident Insurance | Reliance Standard | Pcf Insurance Services Of The West | 195 | $5,848 21.5% of $27,248 |
| Group Life | Reliance Standard | Pcf Insurance Services Of The West | 607 | $4,480 6.1% of $72,976 |
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.