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Employer
1851 Horseshoe Trail, Annex, Chester Springs, PA 19425 · EIN 85-2352203 · 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 $129,446
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Aetna Life Insurance Company | Simkiss & Block | 244 | $80,625 5.0% of $1,610,716 |
| Medical | Aetna Life Insurance Company | Simkiss & Block | 244 | $15,000 0.9% of $1,610,716 |
| Medical | Aetna Life Insurance Company | Simkiss & Block | 244 | $3,120 0.2% of $1,610,716 |
| Medical | Aetna Life Insurance Company | Simkiss & Block | 244 | $256 0.0% of $1,610,716 |
| Medical | Kaiser Foundation Health Plan, Inc. | Simkiss & Block | 19 | $5,730 5.0% of $114,791 |
| Medical | The Guardian Life Insurance Company Of America | Simkiss & Block | 30 | $3,339 16.9% of $19,773 |
| Medical | The Guardian Life Insurance Company Of America | Ima Financial Group (Pittsburgh, Pa | 30 | $1,170 5.9% of $19,773 |
| Medical | The Guardian Life Insurance Company Of America | American Insurance Administrators | 30 | $208 1.1% of $19,773 |
| Dental | Cigna Health And Life Insurance Company And Affiliates | Simkiss & Block | 111 | $11,177 9.9% of $113,055 |
| Vision | Sun Life Assurance Company Of Canada | Simkiss & Block | 136 | $7,983 7.2% of $111,534 |
| Legal | Metlife Legal Plans | The Simkiss Agency | 23 | $838 17.3% of $4,842 |
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.