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Employer
301 Iven Avenue, Wayne, PA 19087 · EIN 46-7526272 · Nov 1, 2023 to Oct 31, 2024
Plan year 2023
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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.
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | HM Life Insurance Company | — | 10677 | Comp not disclosed Premium $2,430,331 |
| Vision | Vision Benefits Of America | — | 10677 | Comp not disclosed Premium $388,942 |
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.
Visible subtotal $9,357,918
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Independence Blue Cross | Claims Processor | $5,822,410 | $282.37 |
| Connor, Strong & Buckelew Companies | Consultant | $1,139,279 | $55.25 |
| Plansource Benefits Administration | Recordkeeper | $600,511 | $29.12 |
| Delta Dental Of Pennsylvania | Claims Processor | $486,816 | $23.61 |
| Highmark Blue Shield | Claims Processor | $377,737 | $18.32 |
| Heather H. Gelting | Plan Sponsor, Exec Dir | $242,500 | $11.76 |
| Joan M. Barone | Plan Sponsor - Cfo | $156,922 | $7.61 |
| Morgan, Lewis & Bockius | Legal Services Provider | $103,100 | $5.00 |
| Andrea B. Bagnell | Plan Sponsor, Dir Of Mktg | $87,233 | $4.23 |
| Truveris Inc | Consultant | $73,333 | $3.56 |
| Bryn Mawr Trust | Investment Advisor | $45,139 | $2.19 |
| Included Health, Inc. | Consultant | $40,253 | $1.95 |
| Donald Kates | Plan Sponsor - Cfo | $36,761 | $1.78 |
| Mercer Health & Benefits LLC | Consultant | $27,500 | $1.33 |
| Lila Feher | Plan Sponsor - Mktg | $24,763 | $1.20 |
| Tait, Weller & Baker LLP | Accountant | $19,530 | $0.95 |
| Willis Towers Watson Northeast, Inc | Insurance Broker | $16,800 | $0.81 |
| Cvs Health | Other Services | $12,865 | $0.62 |
| Quaker Printing Group | Participant Communication | $11,779 | $0.57 |
| Maven Clinic Co. | Claims Processor | $10,000 | $0.48 |
| Rueda Communications LLC | Participant Communication | $8,612 | $0.42 |
| Milliman | Actuary | $7,751 | $0.38 |
| Wsfs Bank | Bank | $6,324 | $0.31 |