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Employer
P.O. Box 7011, Wyomissing, PA 19610 · EIN 23-2238132 · Mar 1, 2024 to Feb 28, 2025
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 $18,345
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Swiss Re Corporate Solutions America Insurance Corporation | — | 249 | Comp not disclosed Premium $642,065 |
| Medical | Hawaii Medical Service Association | — | 1 | Comp not disclosed Premium $20,078 |
| Dental | United Concordia Life And Health Insurance Company | — | 244 | Comp not disclosed Premium $155,069 |
| Vision | Vision Benefits Of America Inc | — | 242 | Comp not disclosed Premium $24,296 |
| Life | Us Able Life | — | 1 | Comp not disclosed Premium $347 |
| Life | Life Insurance Company Of North America | — | 303 | Comp not disclosed Premium $86,892 |
| Life | Colonial Life & Accident Insurance Company | The Loomis Company | 65 | $5,776 9.5% of $61,003 |
| Life | Colonial Life & Accident Insurance Company | Paul Stanley Jr | 65 | $4,179 6.9% of $61,003 |
| Life | Colonial Life & Accident Insurance Company | Mitchell H Besvinick | 65 | $1,056 1.7% of $61,003 |
| Life | Colonial Life & Accident Insurance Company | Robert P Barbati | 65 | $993 1.6% of $61,003 |
| Life | Colonial Life & Accident Insurance Company | Christina Maria Northrup | 65 | $772 1.3% of $61,003 |
| Life | Colonial Life & Accident Insurance Company | Robert H Murray | 65 | $716 1.2% of $61,003 |
| Life | Colonial Life & Accident Insurance Company | Cbf Benefits Inc. | 65 | $561 0.9% of $61,003 |
| Life | Colonial Life & Accident Insurance Company | Advanced Benefits System Inc. | 65 | $821 1.3% of $61,003 |
| Life | Colonial Life & Accident Insurance Company | Landa & Landa LLC | 65 | $273 0.4% of $61,003 |
| Life | Colonial Life & Accident Insurance Company | Beth Joan Mitchell | 65 | $240 0.4% of $61,003 |
| Life | Colonial Life & Accident Insurance Company | Tanya Wishard | 65 | $208 0.3% of $61,003 |
| Life | Colonial Life & Accident Insurance Company | James J Phares | 65 | $202 0.3% of $61,003 |
| Life | Colonial Life & Accident Insurance Company | Palmetto Benefit Solutions LLC | 65 | $309 0.5% of $61,003 |
| Life | Colonial Life & Accident Insurance Company | William T Miller | 65 | $92 0.2% of $61,003 |
| Life | Colonial Life & Accident Insurance Company | Christine L Courtney | 65 | $80 0.1% of $61,003 |
| Life | Colonial Life & Accident Insurance Company | Ronald Oliano | 65 | $59 0.1% of $61,003 |
| Life | Colonial Life & Accident Insurance Company | Brylin Employee Benefits LLC | 65 | $39 0.1% of $61,003 |
| Life | Colonial Life & Accident Insurance Company | Kaitlyn Neville Crowe | 65 | $59 0.1% of $61,003 |
| Life | Colonial Life & Accident Insurance Company | The Loomis Company | 71 | $763 7.7% of $9,909 |
| Life | Colonial Life & Accident Insurance Company | Paul Stanley Jr | 71 | $354 3.6% of $9,909 |
| Life | Colonial Life & Accident Insurance Company | Landa & Landa LLC | 71 | $189 1.9% of $9,909 |
| Life | Colonial Life & Accident Insurance Company | Christina Marie Northrup | 71 | $90 0.9% of $9,909 |
| Life | Colonial Life & Accident Insurance Company | Robert G Murray | 71 | $90 0.9% of $9,909 |
| Life | Colonial Life & Accident Insurance Company | Advanced Benefit System Inc | 71 | $99 1.0% of $9,909 |
| Life | Colonial Life & Accident Insurance Company | Palmetto Benefit Solutions LLC | 71 | $191 1.9% of $9,909 |
| Life | Colonial Life & Accident Insurance Company | Tanya Wishard | 71 | $21 0.2% of $9,909 |
| Life | Colonial Life & Accident Insurance Company | Beth Joan Mitchell | 71 | $20 0.2% of $9,909 |
| Life | Colonial Life & Accident Insurance Company | Robert P Barbati | 71 | $19 0.2% of $9,909 |
| Life | Colonial Life & Accident Insurance Company | James J Phares | 71 | $16 0.2% of $9,909 |
| Life | Colonial Life & Accident Insurance Company | C & L Reek Associates LLC | 71 | $13 0.1% of $9,909 |
| Life | Colonial Life & Accident Insurance Company | William T Miller | 71 | $8 0.1% of $9,909 |
| Life | Colonial Life & Accident Insurance Company | Christine L Courtney | 71 | $7 0.1% of $9,909 |
| Life | Colonial Life & Accident Insurance Company | Ronald Oliano | 71 | $5 0.1% of $9,909 |
| Life | Colonial Life & Accident Insurance Company | Cbf Benefits Inc. | 71 | $5 0.1% of $9,909 |
| Life | Colonial Life & Accident Insurance Company | Kaitlin Neville Crowe | 71 | $20 0.2% of $9,909 |
| AD&D | Life Insurance Company Of North America | — | 310 | Comp not disclosed Premium $10,588 |
| Transplant | Hcc Life Insurance Company | — | 249 | Comp not disclosed Premium $37,984 |
| Other | Life Insurance Company Of North America | — | 267 | Comp not disclosed Premium $65,068 |
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.