Employer
United Biosource, LLC
1000 Continental Drive, King Of Prussia, PA 19406 · EIN 80-0077029 · Jan 1, 2025 to Dec 31, 2025
Plan year 2025
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Schedule A
Direct compensation
Coverage contracts on the filing. If the carrier did not provide Schedule A, the row is listed with that note.
Visible subtotal $142,424
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Dental | Delta Dental Of Pennsylvania | — | 1232 | Comp not disclosed Premium $872,903 |
| Life | Prudential Insurance Company Of America | Crawford Advisors, LLC | 1534 | $79,613 4.3% of $1,851,291 |
| Life | Prudential Insurance Company Of America | Assured Partners (Central Pa) | 1534 | $62,456 3.4% of $1,851,291 |
| Life | Prudential Insurance Company Of America | Img | 1534 | $355 0.0% of $1,851,291 |
Schedule C
Additional compensation
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 $18,616,441
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Independence Blus Cross | Med Admin | $18,413,353 | $11,275.78 |
| Eyemed | Vision Admin | $122,467 | $75.00 |
| Prudential Insurance Company | Third Party Admin Fees | $56,529 | $34.62 |
| Health Equity | Fsa Admin | $24,092 | $14.75 |