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Employer
222 North 20th Street, Philadelphia, PA 19013 · EIN 23-1370501 · Jan 1, 2025 to Dec 31, 2025
Plan year 2025
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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 $60,320
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Keystone Health Plan East - Keystone 65 | — | — | Comp not disclosed Premium $389 |
| Medical | Keystone Health Plan East | Marsh & Mclennan Agency, LLC East | 88 | $41,369 2.9% of $1,446,724 |
| Dental | United Concordia Insurance Company | Marsh & Mclennan Agency, LLC East | 76 | $2,855 7.0% of $40,723 |
| Dental | United Concordia Dental Plans Of Pennsylvania, Inc. | Marsh & Mclennan Agency, LLC East | 17 | $433 7.1% of $6,112 |
| Vision | National Vision Administrators, LLC | Marsh & Mclennan Agency, LLC East | 63 | $636 10.0% of $6,359 |
| Life | Northwestern Mutual | Michael J Lagowy | 110 | $3,946 11.2% of $35,156 |
| Life | Northwestern Mutual | Kathleen M Keenan | 110 | $2,630 7.5% of $35,156 |
| Life | Northwestern Mutual | Trs Agency LLC | 110 | $470 1.3% of $35,156 |
| Life | Northwestern Mutual | Jason Espenshade | 110 | $428 1.2% of $35,156 |
| Life | Northwestern Mutual | Guinan Fncl Grp LLC | 110 | $353 1.0% of $35,156 |
| Accidental Death And Dismemberment | Federal Insurance Company (Chubb) | Usi Insurance Services (Ri) | 110 | $32 0.8% of $4,050 |
| Other | Northwestern Mutual | Michael J Lagowy | 110 | $525 11.3% of $4,645 |
| Other | Northwestern Mutual | Kathleen M Keenan | 110 | $350 7.5% of $4,645 |
| Other | Northwestern Mutual | Trs Agency LLC | 110 | $63 1.4% of $4,645 |
| Other | Northwestern Mutual | Jason Espenshade | 110 | $57 1.2% of $4,645 |
| Other | Northwestern Mutual | Guinan Fncl Grp LLC | 110 | $47 1.0% of $4,645 |
| Other | Northwestern Mutual | Michael J Lagowy | 66 | $3,087 11.3% of $27,426 |
| Other | Northwestern Mutual | Kathleen M Keenan | 66 | $2,058 7.5% of $27,426 |
| Other | Northwestern Mutual | Trs Agency LLC | 66 | $368 1.3% of $27,426 |
| Other | Northwestern Mutual | Jason Espenshade | 66 | $336 1.2% of $27,426 |
| Other | Northwestern Mutual | Guinan Fncl Grp LLC | 66 | $277 1.0% of $27,426 |
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.