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Employer
801 Lancaster Avenue, Bryn Mawr, PA 19010 · EIN 23-0441580 · Aug 1, 2020 to Jul 31, 2021
Plan year 2020
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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 $129,991
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Independence Blue Cross | Nfp Corporate Services (Pa), Inc. | 32 | $1,404 5.9% of $23,850 |
| Medical | Independence Blue Cross | Trion A Marsh & Mclennan Agy LLC Co | 32 | $521 2.2% of $23,850 |
| Medical | Independence Blue Cross | Trion A Marsh & Mclennan Agy LLC Co | 844 | $15,175 54.5% of $27,835 |
| Medical | Independence Blue Cross | Nfp Corporate Services (Pa), Inc. | 844 | $10,309 37.0% of $27,835 |
| Dental | Metropolitan Life Insurance Company | Nfp Corporate Services (Pa), Inc. | 894 | $38,657 10.1% of $381,212 |
| Dental | Metropolitan Life Insurance Company | Nfp Ins Services Inc. | 894 | $2,816 0.7% of $381,212 |
| Dental | Metropolitan Life Insurance Company | Marsh & Mclennan Agency, LLC East | 894 | $38 0.0% of $381,212 |
| Vision | Vision Benefits Of America | Nfp Corporate Services (Pa), Inc. | 420 | $2,416 5.0% of $48,310 |
| Life | Prudential Insurance Company Of America | Nfp Corporate Services (Pa), Inc. | 594 | $23,516 7.7% of $304,584 |
| Life | Prudential Insurance Company Of America | Cambridge Consulting Group LLC | 594 | $10,847 3.6% of $304,584 |
| Life | Prudential Insurance Company Of America | Img | 594 | $117 0.0% of $304,584 |
| Accident, Critical Illness | Reliastar Life Insurance Company | Nfp Corporate Services (Pa), Inc. | 73 | $19,175 66.6% of $28,793 |
| Accident, Critical Illness | Reliastar Life Insurance Company | Topbloc LLC | 73 | $5,000 17.4% of $28,793 |
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.