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Employer
6128 Ridge Avenue, Philadelphia, PA 19128 · EIN 61-1938351 · 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 $30,951
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Dental | The Guardian Life Insurance Company Of America | — | 210 | Schedule A not provided |
| Dental | The Guardian Life Insurance Company Of America | — | 210 | Schedule A not provided |
| Dental | The Guardian Life Insurance Company Of America | — | 210 | Schedule A not provided |
| Vision | Vision Service Plan | Creative Benefits, Inc | 215 | $1,078 5.0% of $21,696 |
| Life | Colonial Life & Accident Insurance Company | Creative Benefits, Inc | 4 | $208 5.2% of $4,017 |
| Life | Colonial Life & Accident Insurance Company | Roth Voluntary Benefits Svcs Inc | 4 | $142 3.5% of $4,017 |
| Life | Colonial Life & Accident Insurance Company | Barbara Ann Kennedy | 4 | $141 3.5% of $4,017 |
| Life | Colonial Life & Accident Insurance Company | Nicholas Cusmano | 4 | $80 2.0% of $4,017 |
| Life | Colonial Life & Accident Insurance Company | Boncher Benefits Inc & Other Agents | 4 | $21 0.5% of $4,017 |
| Life | Colonial Life & Accident Insurance Company | O'Neill Voluntary Benefit Services | 4 | $9 0.2% of $4,017 |
| Life | Colonial Life & Accident Insurance Company | Merridith Stanton | 4 | $9 0.2% of $4,017 |
| Life | The Lincoln National Life Insurance Company | Creative Benefits, Inc | 344 | $9,254 8.1% of $114,475 |
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.