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Employer
601 East Main Street, Collegeville, PA 19426 · EIN 23-1177930 · 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 $32,694
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Dental | Metropolitan Life Insurance Company | — | 448 | Schedule A not provided |
| Vision | Vision Benefits Of America | Patriot Growth Insurance Services | 176 | $445 5.1% of $8,647 |
| Vision | Vision Benefits Of America | Patriot (Exude, Inc.) | 176 | $420 4.9% of $8,647 |
| Vision | Vision Benefits Of America | Patriot Growth Insurance Services | 111 | $470 5.1% of $9,274 |
| Vision | Vision Benefits Of America | Patriot (Exude, Inc.) | 111 | $457 4.9% of $9,274 |
| Life | United Of Omaha Life Insurance Company | Patriot Growth Insurance Svcs LLC | 360 | $2,718 11.1% of $24,424 |
| Life | United Of Omaha Life Insurance Company | Gis Benefits Inc | 360 | $1,390 5.7% of $24,424 |
| Life | United Of Omaha Life Insurance Company | Gi George Parent Lp | 360 | $736 3.0% of $24,424 |
| AD&D | United Of Omaha Life Insurance Company | Patriot Growth Insurance Svcs LLC | 118 | $1,899 11.0% of $17,199 |
| AD&D | United Of Omaha Life Insurance Company | Gis Benefits Inc | 118 | $995 5.8% of $17,199 |
| AD&D | United Of Omaha Life Insurance Company | Gi George Parent Lp | 118 | $477 2.8% of $17,199 |
| Long Term Care | Prudential Insurance Company Of America | Kistler Tiffany Benefits Co | 169 | $6,005 6.5% of $91,919 |
| Other | United Of Omaha Life Insurance Company | Drivestream Inc | 360 | $5,000 12.3% of $40,486 |
| Other | United Of Omaha Life Insurance Company | Patriot Growth Insurance Svcs LLC | 360 | $4,506 11.1% of $40,486 |
| Other | United Of Omaha Life Insurance Company | Gis Benefits Inc | 360 | $2,480 6.1% of $40,486 |
| Other | United Of Omaha Life Insurance Company | Gi George Parent Lp | 360 | $1,218 3.0% of $40,486 |
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.