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Employer
320 South Broad Street, Philadelphia, PA 19102 · EIN 23-1639911 · Nov 1, 2022 to Oct 31, 2023
Plan year 2022
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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 $70,916
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Dental | United Concordia Insurance Company | Donald C. Savoy Associates | 311 | $11,187 10.6% of $105,502 |
| Dental | United Concordia Dental Plans Of Pennsylvania, Inc. | Donald C. Savoy Associates | 52 | $1,289 9.4% of $13,714 |
| Life | Unum Life Insurance Company Of America | Conner Strong & Buckelew Companies | 252 | $8,382 11.9% of $70,475 |
| Life | Unum Life Insurance Company Of America | James R Nelligan & Associates | 252 | $3,524 5.0% of $70,475 |
| Life | Unum Life Insurance Company Of America | Conner Strong & Buckelew Companies | 97 | $3,426 16.3% of $21,083 |
| Life | Unum Life Insurance Company Of America | James R Nelligan & Associates | 97 | $1,054 5.0% of $21,083 |
| Life | Unum Life Insurance Company Of America | Plansource Benefit Administration | 97 | $210 1.0% of $21,083 |
| Dental | United Concordia Insurance Company | Donald C. Savoy Associates | 310 | $21,387 16.4% of $130,265 |
| Dental | United Concordia Dental Plans Of Pennsylvania, Inc. | Donald C. Savoy Associates | 84 | $3,007 17.1% of $17,599 |
| Life | Unum Life Insurance Company Of America | Conner Strong & Buckelew Companies | 256 | $8,370 12.5% of $66,811 |
| Life | Unum Life Insurance Company Of America | James R Nelligan & Associates | 256 | $3,341 5.0% of $66,811 |
| Life | Unum Life Insurance Company Of America | Conner Strong & Buckelew Companies | 101 | $4,229 16.8% of $25,165 |
| Life | Unum Life Insurance Company Of America | James R Nelligan & Associates | 101 | $1,258 5.0% of $25,165 |
| Life | Unum Life Insurance Company Of America | Plansource Benefit Administration | 101 | $252 1.0% of $25,165 |
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.