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Employer
367 South Gulph Road, King Of Prussia, PA 19406 · EIN 23-2077891 · 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 $4,317,253
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Health Plan Of Nevada/Sierra Health & Life | — | 8702 | Comp not disclosed Premium $51,738,419 |
| Medical | Kaiser Foundation Health Plan, Inc. | Mercer (Us), Inc. | 75 | $16,767 2.8% of $603,097 |
| Medical | Kaiser Foundation Health Plan, Inc. | Mercer (Us), Inc. | 10 | $2,886 3.6% of $80,143 |
| Medical | Kaiser Foundation Health Plan Of Colorado | — | 64 | Comp not disclosed Premium $550,040 |
| Medical | Prominence Health Plan | — | 367 | Comp not disclosed Premium $2,754,794 |
| Medical | Prominence Health Plan | — | 10 | Comp not disclosed Premium $71,812 |
| Medical | Prominence Health Plan | — | 38 | Comp not disclosed Premium $285,642 |
| Medical | Prominence Health Plan | — | 687 | Comp not disclosed Premium $4,954,146 |
| Medical | Prominence Health Plan | — | 92 | Comp not disclosed Premium $608,607 |
| Medical | Kaiser Foundation Health Plan, Inc. | Mercer (Us), Inc. | 515 | $121,946 2.8% of $4,303,863 |
| Medical | Prominence Health Plan | — | 26 | Comp not disclosed Premium $164,278 |
| Medical | Selecthealth | — | 877 | Comp not disclosed Premium $8,407,293 |
| Medical | Aetna Health, Inc. | — | 820 | Comp not disclosed Premium $6,074,982 |
| Vision | Vision Service Plan | — | 40452 | Schedule A not provided |
| Life | Hartford Life And Accident | Marsh & Mclennan Agency, LLC East | 84031 | $835,248 3.7% of $22,369,678 |
| Business Travel Accident | Hartford Fire Insurance Company | Marsh & Mclennan Agency, LLC East | 66689 | $1,576 15.0% of $10,507 |
| Accidental Death And Dismemberment | Hartford Life And Accident | Marsh & Mclennan Agency, LLC East | 66684 | $244,227 15.0% of $1,628,183 |
| Other | Hartford Life And Accident | Marsh & Mclennan Agency, LLC East | 39541 | $352,515 3.3% of $10,660,486 |
| Other | Hartford Life And Accident | Marsh & Mclennan Agency, LLC East | 22468 | $426,812 3.3% of $12,918,711 |
| Voluntary Accident And Critical Illness | Reliastar Life Insurance Company | Willis Towers Watson Us LLC | 43295 | $2,315,276 27.7% of $8,364,055 |
| Employee Assistance Program | Cca Inc. | — | 68821 | Schedule A not provided |
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.