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Employer
Po Box 64197, Souderton, PA 18964 · EIN 23-1886144 · 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 $165,226
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Unimerica Insurance Company | — | — | Comp not disclosed Premium $1,467,218 |
| Stop-loss | The North River Insurance Company | — | 733 | Comp not disclosed Premium $514,300 |
| Medical | Aetna Life Insurance Co. | — | 8 | Comp not disclosed Premium $49,397 |
| Medical | Aetna Health, Inc. | — | 2 | Comp not disclosed Premium $9,438 |
| Dental | Delta Dental Of Pennsylvania | Univest Insurance, LLC | 713 | $10,798 2.0% of $539,904 |
| Vision | Fidelity Security Life Insurance Company | Univest Insurance, LLC | 616 | $14,719 16.2% of $90,898 |
| Vision | Fidelity Security Life Insurance Company | Univest Insurance, LLC | 6 | $110 19.7% of $559 |
| Life | United Of Omaha Life Insurance Company | Emerson Rogers LLC | 1021 | $20,502 20.4% of $100,608 |
| Life | United Of Omaha Life Insurance Company | Emerson Rogers LLC | 389 | $65,477 21.6% of $303,231 |
| Life | Provident Life And Accident Insurance Company | Maven Benefits Partners | 16 | $15 0.3% of $4,739 |
| Voluntary Products | Unum Life Insurance Company Of America | Univest Insurance, LLC | 1 | $8 4.2% of $191 |
| Other | United Of Omaha Life Insurance Company | Emerson Rogers LLC | 843 | $42,262 22.8% of $185,568 |
| Voluntary Critical Illness | United Of Omaha Life Insurance Company | Emerson Rogers LLC | 118 | $6,048 22.5% of $26,917 |
| Voluntary Accident Only | United Of Omaha Life Insurance Company | Emerson Rogers LLC | 158 | $4,089 22.6% of $18,060 |
| Long Term Care | Unum Life Insurance Company Of America | Univest Insurance, LLC | 50 | $1,198 10.0% of $11,981 |
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.