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Employer
3300 Henry Avenue, Suite 500, Philadelphia, PA 19129 · EIN 23-2103781 · Jan 1, 2022 to Dec 31, 2022
Plan year 2022
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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 $19,475
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Dental | Delta Dental Of Pennsylvania | Nfp Coroprate Services (Pa) Inc. | 149 | $4,611 7.3% of $63,449 |
| Dental | Delta Dental Of Pennsylvania | Marsh & Mclennan Agency, LLC East | 149 | $1,239 2.0% of $63,449 |
| Vision | Vision Benefits Of America | Nfp Coroprate Services (Pa) Inc. | 88 | $585 9.0% of $6,465 |
| Vision | Vision Benefits Of America | A Marsh & Mclennan Agency LLC Co. | 88 | $61 0.9% of $6,465 |
| Life | Hartford Life And Accident | Nfp Coroprate Services (Pa) Inc. | 111 | $7,068 6.1% of $116,818 |
| Life | Hartford Life And Accident | Marsh & Mclennan Agency, LLC East | 111 | $4,561 3.9% of $116,818 |
| Life | Hartford Life And Accident | Marsh & Mclennan Agency, LLC East | 111 | $-93 -0.1% of $116,818 |
| Worksite Benefits | Colonial Life & Accident Insurance Company | Marsh & Mclennan Agency, LLC East | 5 | $1,055 15.6% of $6,749 |
| Worksite Benefits | Colonial Life & Accident Insurance Company | Pamela Susan Levy | 5 | $154 2.3% of $6,749 |
| Worksite Benefits | Colonial Life & Accident Insurance Company | Mco Partners LLC | 5 | $141 2.1% of $6,749 |
| Worksite Benefits | Colonial Life & Accident Insurance Company | Tanya Wishard | 5 | $48 0.7% of $6,749 |
| Worksite Benefits | Colonial Life & Accident Insurance Company | Stephen M Henss LLC | 5 | $42 0.6% of $6,749 |
| Worksite Benefits | Colonial Life & Accident Insurance Company | Jennifer E Lubelsky | 5 | $3 0.0% of $6,749 |
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.