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Employer
1190 Devon Park Drive, Wayne, PA 19087 · EIN 23-1383313 · Jan 1, 2024 to Dec 31, 2024
Plan year 2024
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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 $226,085
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Independence Blue Cross | — | 2857 | Comp not disclosed Premium $21,810,659 |
| Dental | United Concordia Insurance Company | — | 2639 | Schedule A not provided |
| Life | The Guardian Life Insurance Company Of America | Gallagher Fiduciary Advisors, LLC | 1263 | $186,343 15.0% of $1,241,016 |
| Life | The Guardian Life Insurance Company Of America | Amerihealth Administrators, Inc. | 1263 | $15,747 1.3% of $1,241,016 |
| Life | Massachusetts Mutual Life Insurance Company | Joseph Michael Faragasso | 85 | $44 0.1% of $46,146 |
| Life | Massachusetts Mutual Life Insurance Company | Gary W. Smith | 85 | $44 0.1% of $46,146 |
| Critical Illness | Unum Insurance Company | Gallagher Fiduciary Advisors, LLC | 231 | $6,205 18.0% of $34,526 |
| Critical Illness | Unum Insurance Company | Gallagher Fiduciary Advisors, LLC | 231 | $517 1.5% of $34,526 |
| Long Term Care | Massachusetts Mutual Life Insurance Company | — | 1263 | Comp not disclosed |
| Long Term Care | Massachusetts Mutual Life Insurance Company | — | 1263 | Comp not disclosed |
| Employee Assistance Program | Curalinc, LLC DBA Curalinc Healthcare | — | 1200 | Comp not disclosed Premium $17,568 |
| Other | Massachusetts Mutual Life Insurance Company | Gary W. Smith | 103 | $1,952 4.7% of $41,957 |
| Other | Massachusetts Mutual Life Insurance Company | Christopher Charles Cocores | 103 | $597 1.4% of $41,957 |
| Other | Massachusetts Mutual Life Insurance Company | Joseph Michael Faragasso | 103 | $401 1.0% of $41,957 |
| Other | Massachusetts Mutual Life Insurance Company | Matthew James Dobbie | 103 | $180 0.4% of $41,957 |
| Other | Massachusetts Mutual Life Insurance Company | Lawrence M. Mchugh | 103 | $118 0.3% of $41,957 |
| Other | Massachusetts Mutual Life Insurance Company | Michael R. Skiff And Various Agents | 103 | $17 0.0% of $41,957 |
| Other | Massachusetts Mutual Life Insurance Company | Michael J. Lynch | 103 | $13 0.0% of $41,957 |
| Other | Provident Life And Accident Insurance Company | Gallagher Fiduciary Advisors, LLC | 263 | $10,057 12.8% of $78,723 |
| Other | Provident Life And Accident Insurance Company | Gallagher Fiduciary Advisors, LLC | 263 | $595 0.8% of $78,723 |
| Other | Provident Life And Accident Insurance Company | Paul J. Connolly | 263 | $345 0.4% of $78,723 |
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.