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Employer
3509 N. Broad Street, Philadelphia, PA 19140 · EIN 23-2825881 · 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 $2,941,586
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | HM Life Insurance Company | Aon Consulting, Inc. | 8955 | Comp not disclosed Premium $1,576,345 |
| Medical | Personal Choice 65 | — | 1 | Comp not disclosed Premium $5,591 |
| Dental | Metropolitan Life Insurance Company | Gallagher Fiduciary Advisors, LLC | 18149 | $1,468,191 19.8% of $7,403,078 |
| Dental | Metropolitan Life Insurance Company | Centro Benefits Research LLC | 18149 | $338,291 4.6% of $7,403,078 |
| Vision | Vision Service Plan | Empower Benefits Inc | 1518 | $65,878 19.5% of $337,848 |
| Life | Reliance Standard Life Insurance Company | Gallagher Fiduciary Advisors, LLC | 10081 | $290,339 8.9% of $3,254,227 |
| Accidental Death And Dismemberment Insurance Travel | Starr Indemnity & Liability Company | Brown And Brown Healthcare | 12200 | $2,477 15.0% of $16,510 |
| Accidental Death And Dismemberment | Reliance Standard Life Insurance Company | Gallagher Fiduciary Advisors, LLC | 4206 | $22,512 16.3% of $138,163 |
| Accident And Sickness | Reliance Standard Life Insurance Company | Gallagher Fiduciary Advisors, LLC | 2280 | $46,553 16.6% of $279,697 |
| Other | Reliance Standard Life Insurance Company | Gallagher Fiduciary Advisors, LLC | 6029 | $290,691 7.5% of $3,889,842 |
| Voluntary Short Term Disability | Reliance Standard Life Insurance Company | Gallagher Fiduciary Advisors, LLC | 5831 | $309,718 6.1% of $5,085,789 |
| Voluntary Accident Insurance | Reliance Standard Life Insurance Company | Gallagher Fiduciary Advisors, LLC | 772 | $23,909 11.6% of $205,619 |
| Voluntary Accident Insurance | Reliance Standard Life Insurance Company | Empower Benefits Inc | 772 | $10,281 5.0% of $205,619 |
| Voluntary Critical Illness | Reliance Standard Life Insurance Company | Gallagher Fiduciary Advisors, LLC | 612 | $47,227 12.4% of $382,219 |
| Voluntary Critical Illness | Reliance Standard Life Insurance Company | Empower Benefits Inc | 612 | $19,111 5.0% of $382,219 |
| Other | Reliance Standard Life Insurance Company | Gallagher Fiduciary Advisors, LLC | 828 | $6,408 10.7% of $59,887 |
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.