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Employer
10965 Decatur Road, Philadelphia, PA 19154 · EIN 23-1716164 · 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.
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Companion Life Insurance Co. | — | 1264 | Comp not disclosed Premium $633,937 |
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.
Visible subtotal $1,250,000
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Cigna Health & Life Insurance Co | None | $399,212 | $313.60 |
| Carol King | Employee | $123,873 | $97.31 |
| Leonard Rieco | Employee | $123,873 | $97.31 |
| Leo Reilly , Sr | Employee | $113,113 | $88.86 |
| Nicholas Zanczuk | Employee | $82,294 | $64.65 |
| Benjamin Marcinkiewicz | Employee | $80,621 | $63.33 |
| Bridgeway Benefit Technologies | None | $69,200 | $54.36 |
| Zenith Administrators | None | $37,368 | $29.35 |
| Bruce S Morrison , Do | None | $30,000 | $23.57 |
| Flexcare LLC | None | $29,015 | $22.79 |
| Morgan Stanley Global Banking | None | $28,867 | $22.68 |
| John Sullivan | Employee | $26,334 | $20.69 |
| Novak Francella LLC | None | $25,046 | $19.67 |
| Markowitz & Richman | None | $24,663 | $19.37 |
| Gaetano Storace Iii Dmd Pc | None | $21,587 | $16.96 |
| Citizens Bank | None | $16,296 | $12.80 |
| The Mckeogh Company | None | $10,000 | $7.86 |
| Boyd Watterson Asset Management LLC | None | $8,638 | $6.79 |