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Employer
1050 Westlakes Drive, Berwyn, PA 19312 · EIN 23-0332575 · 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 $190,313
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Kaiser Foundation Health Plan, Inc. | — | 318 | Comp not disclosed Premium $3,247,422 |
| Medical | Cigna Health And Life Insurance Company | Willis Towers Watson Us LLC | 172 | $36,945 2.8% of $1,314,830 |
| Medical | Metropolitan Life Insurance Company | Rewards Plus Of America | 26 | $375 6.7% of $5,624 |
| Medical | Kaiser Foundation Health Plan, Inc. | — | 139 | Comp not disclosed Premium $1,270,778 |
| Medical | Metropolitan Life Insurance Company | Rewards Plus Of America Insurance | 9 | $240 6.1% of $3,913 |
| Dental | Delta Dental Of Pennsylvania | — | 6974 | Comp not disclosed Premium $6,254,859 |
| Vision | Vision Service Plan | — | 5910 | Comp not disclosed Premium $1,261,834 |
| Life | Prudential Insurance Company Of America | Willis Towers Watson Us LLC | 10089 | $99,307 1.7% of $5,693,965 |
| Life | Prudential Insurance Company Of America | Img | 10089 | $1,868 0.0% of $5,693,965 |
| Legal | Metlife Legal Plans | Youdecide, Inc. | 1407 | $29,078 11.0% of $265,233 |
| Employee Assistance Program | Compsych Corporation | — | 8162 | Comp not disclosed Premium $111,092 |
| Other | Reliance Standard Life Insurance Company | Willis Towers Watson Us LLC | 4538 | $22,500 1.3% of $1,687,993 |
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.