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Employer
401 East City Avenue, Bala Cynwyd, PA 19004 · EIN 23-2795207 · 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 $175,135
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Aetna Life Insurance Company | Lockton Companies, LLC | 67 | $29,045 6.7% of $435,695 |
| Vision | Vision Service Plan | — | 1299 | Comp not disclosed Premium $152,405 |
| Life | Hartford Life And Accident | Marsh & Mclennan Agency, LLC East | 2360 | $103,018 7.5% of $1,372,723 |
| Life | Hartford Life And Accident | Marsh & Mclennan Agency, LLC East | 2360 | $10,273 0.7% of $1,372,723 |
| Life | Hartford Life And Accident | Pentra, LLC | 2360 | $132 0.0% of $1,372,723 |
| Legal | Metlife Legal Plans | — | 452 | Comp not disclosed Premium $94,977 |
| Business Travel Accident | Aetna International | Lockton Companies, LLC | 180 | $843 9.1% of $9,273 |
| Other | Aetna Life Insurance Company | Lockton Companies, LLC | 1508 | $30,286 15.8% of $191,324 |
| Individual Disability Insurance | Metropolitan Life Insurance Company | Alan Laken | 69 | $1,159 3.6% of $32,422 |
| Individual Disability Insurance | Metropolitan Life Insurance Company | Pentra, LLC | 69 | $337 1.0% of $32,422 |
| Individual Disability Insurance | Metropolitan Life Insurance Company | Marsh & Mclennan Agency, LLC East | 69 | $31 0.1% of $32,422 |
| Individual Disability Insurance | Metropolitan Life Insurance Company | Gordon W. St John | 69 | $11 0.0% of $32,422 |
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.