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Employer
746 East Business Route One, Langhorne, PA 19047 · EIN 23-2659903 · 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 $161,118
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Independence Blue Cross | Marsh & Mclennan Agency, LLC East | 387 | $131,257 6.0% of $2,201,065 |
| Dental | Metropolitan Life Insurance Company | Marsh & Mclennan Agency, LLC East | 449 | $5,780 3.9% of $149,860 |
| Dental | Metropolitan Life Insurance Company | Plansource Benefits Administration | 449 | $654 0.4% of $149,860 |
| Dental | Metropolitan Life Insurance Company | Marsh & Mclennan Agency, LLC East | 449 | $101 0.1% of $149,860 |
| Vision | Heartland | Marsh & Mclennan Agency, LLC East | 372 | $1,021 4.8% of $21,447 |
| Other | Independence Blue Cross | Marsh & Mclennan Agency, LLC East | 356 | $1,088 0.1% of $755,245 |
| Accident, Hospital, Cancer | American Fidelity Assurance Company | — | 147 | Schedule A not provided |
| Accident, Hospital, Cancer | American Fidelity Assurance Company | — | 147 | Schedule A not provided |
| Accident, Hospital, Cancer | American Fidelity Assurance Company | — | 147 | Schedule A not provided |
| Accident, Hospital, Cancer | American Fidelity Assurance Company | — | 147 | 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.