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Employer
800 South Columbus Blvd, Philadelphia, PA 19147 · EIN 23-0977160 · 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 $129,664
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Life | Midland National Life Insurance | — | 1 | Comp not disclosed |
| Life | Midland National Life Insurance | — | 1 | Comp not disclosed |
| Life | Allianz Life Insurance Company | — | 1 | Comp not disclosed |
| Life | Allianz Life Insurance Company | — | 1 | Comp not disclosed |
| Medical | Independence Blue Cross | Emerson Rogers LLC | 220 | $73,956 5.0% of $1,466,372 |
| Medical | Independence Blue Cross | Emerson Rogers LLC | 24 | $3,094 5.3% of $58,506 |
| Medical | United Healthcare | My Benefit Advisor LLC | 53 | $12,660 6.3% of $201,506 |
| Dental | Starmount Life Insurance Company | Capital Management Enterprises Inc | 139 | $23,641 12.0% of $197,015 |
| Vision | Eyemed Vision Care | Capital Management Enterprises Inc | 136 | $997 9.9% of $10,056 |
| Life | Unum Life Insurance Company Of America | Capital Management Enterprises Inc | 9 | $126 2.0% of $6,276 |
| Life | Unum Life Insurance Company Of America | Capital Management Enterprises Inc | 40 | $8,088 12.8% of $63,298 |
| Other | Unum Life Insurance Company Of America | Capital Management Enterprises Inc | 68 | $7,102 7.4% of $95,459 |
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.