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Employer
507 Prudential Rd., Horsham, PA 19044 · EIN 94-1728881 · 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 $135,626
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Delta Dental Of Illinois | — | 1451 | Comp not disclosed Premium $710,521 |
| Vision | Protec Insurance Company | Willis Towers Watson | 1751 | $6,412 5.5% of $116,763 |
| Life | Dearborn Life Insurance Company | Willis Towers Watson | 3682 | $50,887 6.0% of $848,124 |
| Life | Dearborn Life Insurance Company | Willis Towers Watson | 3682 | $18,965 2.2% of $848,124 |
| Accident, Critical Illness, Hospital Indemnity | Combined Insurance Company Of America | Ibenefit Communication | 1137 | $34,644 25.4% of $136,655 |
| Accident, Critical Illness, Hospital Indemnity | Combined Insurance Company Of America | Willis Towers Watson | 1137 | $14,834 10.9% of $136,655 |
| Accident, Critical Illness, Hospital Indemnity | Combined Insurance Company Of America | Benefits All In LLC | 1137 | $9,497 6.9% of $136,655 |
| Long-Term Care | Combined Insurance Company Of America | Ibenefit Communication | 19 | $271 2.8% of $9,657 |
| Long-Term Care | Combined Insurance Company Of America | Willis Towers Watson | 19 | $116 1.2% of $9,657 |
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.