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Employer
300 Park Avenue, Warminster, PA 18974 · EIN 23-0447250 · Dec 1, 2024 to Nov 30, 2025
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 $84,510
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Independence Blue Cross | Johnson, Kendall & Johnson Inc | 72 | $15,007 3.1% of $491,889 |
| Medical | Keystone | Johnson, Kendall & Johnson Inc | 156 | $35,118 3.1% of $1,124,797 |
| Vision | Independence Blue Cross | Johnson, Kendall & Johnson Inc | 228 | $5,325 1.2% of $442,977 |
| Life | Standard Insurance Company | Johnson, Kendall & Johnson Inc | 155 | $8,555 10.2% of $83,706 |
| Life | Standard Insurance Company | Usi Insurance Services (Ri) | 155 | $5,236 6.3% of $83,706 |
| Life | Standard Insurance Company | Gis Benefits, Inc. | 155 | $987 1.2% of $83,706 |
| Life | Standard Insurance Company | Woodrail Ins And Fin Srvs LLC | 155 | $4 0.0% of $83,706 |
| Other | Standard Insurance Company | Johnson, Kendall & Johnson Inc | 150 | $7,335 104.7% of $7,009 |
| Other | Standard Insurance Company | Usi Insurance Services (Ri) | 150 | $5,739 81.9% of $7,009 |
| Other | Standard Insurance Company | Gis Benefits, Inc. | 150 | $1,204 17.2% of $7,009 |
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.