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Employer
1315 Windrim Avenue, Philadelphia, PA 19141 · EIN 23-3048845 · Jan 1, 2024 to Dec 31, 2024
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 $108,491
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Independence Blue Cross - Keystone | Emerson Rogers LLC | — | $69,317 5.5% of $1,252,980 |
| Dental | United Concordia Dental Plan Of Philadelphia, Inc | United Concordia | 44 | $715 6.3% of $11,430 |
| Dental | United Concordia Dental Plan Of Philadelphia, Inc | United Concordia | 44 | $2,514 22.0% of $11,430 |
| Life | Metropolitan Life Insurance Company | Newbridge Partners LLC | 153 | $11,120 8.7% of $128,240 |
| Other | Colonial Life & Accident Insurance Company | Employer Assurance Solutions LLC | 38 | $278 |
| Other | Colonial Life & Accident Insurance Company | Creative Benefit Consultants Inc | 38 | $137 |
| Other | Colonial Life & Accident Insurance Company | Advance Benefit Communication LLC | 38 | $3,481 |
| Other | Colonial Life & Accident Insurance Company | Hilary B Radolec | 38 | $100 |
| Other | Colonial Life & Accident Insurance Company | Patricia A Prendergast | 38 | $84 |
| Other | Colonial Life & Accident Insurance Company | Lynn M Barry | 38 | $273 |
| Other | Colonial Life & Accident Insurance Company | Edward F Klinges | 38 | $14 |
| Other | Colonial Life & Accident Insurance Company | Morgan Perri | 38 | $4 |
| Other | Colonial Life & Accident Insurance Company | Michael R Ackerman | 38 | $607 |
| Other | Independence Blue Cross - Ppo | Independence Blue Cross | 20 | $9,072 5.6% of $163,416 |
| Other | Independence Blue Cross - Ppo | Emerson Rogers LLC | 20 | $9,072 5.6% of $163,416 |
| Other | Independence Blue Cross - Drug | Independence Blue Cross | 20 | $1,490 6.2% of $24,172 |
| Other | Independence Blue Ceoss - Vision | Emerson Rogers LLC | 20 | $213 31.0% of $687 |
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.