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Employer
4200 City Ave., Philadelphia, PA 19103 · EIN 83-3202516 · Sep 1, 2024 to Aug 31, 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 $84,393
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Independence Blue Cross | Conner Strong & Buckelew Companies | 215 | $56,667 2.7% of $2,138,133 |
| Medical | United Of Omaha Life Insurance Company | Conner Strong & Buckelew Companies | 36 | $2,840 22.8% of $12,443 |
| Medical | United Of Omaha Life Insurance Company | Conner Strong & Buckelew Companies | 38 | $996 23.5% of $4,237 |
| Medical | United Of Omaha Life Insurance Company | Conner Strong & Buckelew Companies | 38 | $1,113 23.2% of $4,793 |
| Dental | Cigna Health And Life Insurance Company And Affiliates | Conner Strong & Buckelew Companies | 198 | $9,803 12.0% of $81,590 |
| Dental | Cigna Dental Health Of Florida, Inc. | Conner Strong & Buckelew Companies | 18 | $397 10.0% of $3,970 |
| Dental | Cigna Dental Health Of New Jersey, Inc. | Conner Strong & Buckelew Companies | 1 | $29 9.9% of $293 |
| Dental | Cigna Dental Health Of Pennsylvania, Inc. | Conner Strong & Buckelew Companies | 9 | $223 10.0% of $2,229 |
| Dental | Cigna Dental Health Of Virginia, Inc. | Conner Strong & Buckelew Companies | 2 | $62 10.0% of $618 |
| Dental | Cigna Dental Health Of Delaware, Inc. | Conner Strong & Buckelew Companies | 1 | $7 10.8% of $65 |
| Dental | Cigna Dental Health Of Maryland, Inc. | Conner Strong & Buckelew Companies | 1 | $5 10.2% of $49 |
| Vision | Eyemed Vision Care On Behalf Of Fidelity Security Life Insurance Co. | Conner Strong & Buckelew Companies | 221 | $561 3.7% of $15,138 |
| Life | United Of Omaha Life Insurance Company | Conner Strong & Buckelew Companies | 523 | $1,928 12.9% of $14,965 |
| Life | United Of Omaha Life Insurance Company | Conner Strong & Buckelew Companies | 80 | $4,920 16.4% of $30,046 |
| Voluntary Short Term Disability | United Of Omaha Life Insurance Company | Conner Strong & Buckelew Companies | 63 | $4,842 16.1% of $29,987 |
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.