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Employer
1500 Spring Garden Street, Philadelphia, PA 19130 · EIN 23-3024522 · 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 $383,682
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | HM Life Insurance Company | — | 3790 | Comp not disclosed Premium $760,324 |
| Medical | Metropolitan Life Insurance Company | Benefitstore Inc | 2201 | $36,178 14.8% of $244,440 |
| Medical | Metropolitan Life Insurance Company | Benefitstore Inc | 1092 | $31,774 14.8% of $215,016 |
| Medical | Cigna Health And Life Insurance Company | Marsh & Mclennan Agency, LLC East | 1 | $457 10.0% of $4,570 |
| Medical | Metropolitan Life Insurance Company | Benefitstore Inc | 1699 | $48,429 14.6% of $332,042 |
| Medical | Delaware American Life Insurance Company-Metlife | Marsh & Mclennan Agency, LLC East | 57 | $13,341 3.0% of $444,696 |
| Vision | Eyemed Vision Care | Marsh & Mclennan Agency, LLC East | 8191 | $35,700 10.0% of $357,990 |
| Life | Metropolitan Life Insurance Company | Marsh & Mclennan Agency, LLC East | 7084 | $108,796 5.7% of $1,915,511 |
| Life | Metropolitan Life Insurance Company | Benefitstore Inc | 7084 | $29,820 1.6% of $1,915,511 |
| Other | Metropolitan Life Insurance Company | Marsh & Mclennan Agency, LLC East | 2867 | $12,518 2.0% of $610,831 |
| Other | Metropolitan Life Insurance Company | Benefitstore Inc | 2867 | $8,883 1.5% of $610,831 |
| Legal Plan | Metlife Legal Plans, Inc. | Marsh & Mclennan Agency, LLC East | 548 | $13,034 12.0% of $108,521 |
| Legal Plan | Metlife Legal Plans, Inc. | Benefitforucs.Com, Inc. | 548 | $1,618 1.5% of $108,521 |
| Other | Metropolitan Life Insurance Company | Marsh & Mclennan Agency, LLC East | 1634 | $33,906 5.5% of $617,717 |
| Other | Metropolitan Life Insurance Company | Benefitstore Inc | 1634 | $9,228 1.5% of $617,717 |
| Business Travel Accident | New York Life (Life Insurance Company Of North America) | — | 9080 | Comp not disclosed Premium $51,900 |
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.