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Employer
959 Mearns Road, Warminster, PA 18974 · EIN 76-0356084 · 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 $96,275
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Independence Blue Cross-Keystone | Mercer (Us), Inc. | 112 | $34,643 3.0% of $1,153,679 |
| Medical | Independence Blue Cross-Personal Choice | Mercer (Us), Inc. | 69 | $18,674 3.0% of $621,114 |
| Dental | Delta Dental Of Pennsylvania | Mercer (Us), Inc. | 198 | $4,627 6.0% of $77,115 |
| Vision | Independence Blue Cross-Vision | Mercer (Us), Inc. | 69 | $199 3.0% of $6,631 |
| Life | Reliance Standard Life Insurance Company | Mercer (Us), Inc. | 93 | $9,805 15.4% of $63,558 |
| Life | Reliance Standard Life Insurance Company | Mercer (Us), Inc. | 43 | $4,519 15.4% of $29,385 |
| Other | Independence Blue Cross-Prescription | Mercer (Us), Inc. | 69 | $3,995 3.0% of $132,856 |
| Other | Reliance Standard Life Insurance Company | Mercer (Us), Inc. | 116 | $14,226 15.4% of $92,191 |
| Employee Assistance Program | Reliance Standard Life Insurance Company | Mercer (Us), Inc. | 69 | $5,587 15.4% of $36,188 |
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.