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Employer
475 Spring Lane, Philadelphia, PA 19128 · EIN 23-2517228 · 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 $172,590
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Independence Blue Cross | Nfp Corporate Services (Pa), Inc. | 281 | $125,981 5.3% of $2,397,827 |
| Dental | United Concordia Insurance Company | Nfp Corporate Services (Pa), Inc. | 272 | $4,283 4.0% of $108,315 |
| Dental | United Concordia Dental Plans Of Pennsylvania, Inc | Nfp Corporate Services (Pa), Inc. | 27 | $168 4.0% of $4,206 |
| Vision | Independence Blue Cross | Nfp Corporate Services (Pa), Inc. | 251 | $14,355 1.7% of $856,770 |
| Life | Life Insurance Company Of North America | Nfp Corporate Services (Pa), Inc. | 328 | $9,024 10.9% of $82,974 |
| Accidental Death And Dismemberment | Life Insurance Company Of North America | Nfp Corporate Services (Pa), Inc. | 328 | $484 11.0% of $4,396 |
| Other | Life Insurance Company Of North America | Nfp Corporate Services (Pa), Inc. | 328 | $4,226 11.0% of $38,280 |
| Other | Life Insurance Company Of North America | Nfp Corporate Services (Pa), Inc. | 140 | $11,584 11.0% of $105,602 |
| Accident | Cigna Health And Life Insurance Company | — | — | Schedule A not provided |
| Critical Illness | Cigna Health And Life Insurance Company | — | — | Schedule A not provided |
| Hospital | Cigna Health And Life Insurance Company | — | — | Schedule A not provided |
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.