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Employer
3606 Horizon Drive, King Of Prussia, PA 19406 · EIN 23-2097522 · Jun 1, 2021 to May 31, 2022
Plan year 2021
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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 $9,974
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Dental | Aetna Life Insurance Co. | Assured Partners | 323 | $4,561 4.9% of $93,315 |
| Vision | Vision Benefits Of America | Assured Partners | 109 | $1,192 10.0% of $11,918 |
| Life | The Lincoln National Life Insurance | Assured Partners | 182 | $1,860 10.0% of $18,571 |
| Life | The Lincoln National Life Insurance | Dbl General Agcy An Alera Grp LLC | 182 | $845 4.6% of $18,571 |
| Life | The Lincoln National Life Insurance | The Dbl Center Ltd | 182 | $566 3.0% of $18,571 |
| Life | The Lincoln National Life Insurance | National Benefit Center | 182 | $53 0.3% of $18,571 |
| Accident, Cancer, Critical Illness, Whole Life | Colonial Life & Accident Insurance Company | Assured Partners | 8 | $280 5.7% of $4,941 |
| Accident, Cancer, Critical Illness, Whole Life | Colonial Life & Accident Insurance Company | Julia George | 8 | $110 2.2% of $4,941 |
| Accident, Cancer, Critical Illness, Whole Life | Colonial Life & Accident Insurance Company | Michael Ackerman | 8 | $58 1.2% of $4,941 |
| Accident, Cancer, Critical Illness, Whole Life | Colonial Life & Accident Insurance Company | Lisa Perri | 8 | $40 0.8% of $4,941 |
| Accident, Cancer, Critical Illness, Whole Life | Colonial Life & Accident Insurance Company | Lauren Ashley Perri | 8 | $17 0.3% of $4,941 |
| Accident, Cancer, Critical Illness, Whole Life | Colonial Life & Accident Insurance Company | Leitz Insurance Agency LLC | 8 | $13 0.3% of $4,941 |
| Accident, Cancer, Critical Illness, Whole Life | Colonial Life & Accident Insurance Company | Taylor Leigh Perri | 8 | $3 0.1% of $4,941 |
| Accident, Cancer, Critical Illness, Whole Life | Colonial Life & Accident Insurance Company | Assured Partners | 2 | $248 9.5% of $2,601 |
| Accident, Cancer, Critical Illness, Whole Life | Colonial Life & Accident Insurance Company | Julia George | 2 | $52 2.0% of $2,601 |
| Accident, Cancer, Critical Illness, Whole Life | Colonial Life & Accident Insurance Company | Michael Ackerman | 2 | $40 1.5% of $2,601 |
| Accident, Cancer, Critical Illness, Whole Life | Colonial Life & Accident Insurance Company | Lisa Perri | 2 | $20 0.8% of $2,601 |
| Accident, Cancer, Critical Illness, Whole Life | Colonial Life & Accident Insurance Company | Lauren Ashley Perri | 2 | $9 0.3% of $2,601 |
| Accident, Cancer, Critical Illness, Whole Life | Colonial Life & Accident Insurance Company | Leitz Insurance Agency LLC | 2 | $7 0.3% of $2,601 |
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.