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Employer
3601 Spruce Street, Philadelphia, PA 19104 · EIN 23-6434390 · 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 $141,153
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Cigna Health And Life Insurance Company | Willis Towers Watson Northeast, Inc | 359 | $130,720 3.1% of $4,219,732 |
| Medical | Cigna Health And Life Insurance Company | Willis Towers Watson Us LLC | 359 | $193 0.0% of $4,219,732 |
| Vision | Vision Benefits Of America | Willis Towers Watson Northeast, Inc | 244 | $1,105 5.0% of $22,103 |
| Life | Life Insurance Company Of North America | Willis Towers Watson Northeast, Inc | 302 | $3,705 5.0% of $74,099 |
| Life | Life Insurance Company Of North America | Willis Towers Watson | 302 | $785 1.1% of $74,099 |
| Life | Life Insurance Company Of North America | Willis Towers Watson Northeast, Inc | 302 | $307 0.4% of $74,099 |
| Other | Life Insurance Company Of North America | Willis Towers Watson Northeast, Inc | 302 | $2,724 6.0% of $45,406 |
| Other | Life Insurance Company Of North America | Willis Towers Watson | 302 | $501 1.1% of $45,406 |
| Other | Life Insurance Company Of North America | Willis Towers Watson Northeast, Inc | 302 | $154 0.3% of $45,406 |
| Accidental Death And Dismemberment | Life Insurance Company Of North America | Willis Towers Watson Northeast, Inc | 302 | $533 5.0% of $10,651 |
| Accidental Death And Dismemberment | Life Insurance Company Of North America | Willis Towers Watson Northeast, Inc | 302 | $307 2.9% of $10,651 |
| Accidental Death And Dismemberment | Life Insurance Company Of North America | Willis Towers Watson | 302 | $119 1.1% of $10,651 |
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.