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Employer
1650 Market Street, Suite 1800, Philadelphia, PA 19103 · EIN 23-1421789 · 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 $158,775
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Cigna Health And Life Insurance Company And Affiliates | Willis Towers Watson Northeast, Inc | 272 | $118,095 10.7% of $1,104,652 |
| Medical | Cigna Health And Life Insurance Company And Affiliates | Willis Towers Watson Us LLC | 272 | $950 0.1% of $1,104,652 |
| Medical | United Concordia Insurance Company | Kistler Tiffany Benefits Co | 115 | $8,412 12.4% of $67,731 |
| Dental | United Concordia Dental Plans, Inc. | Kistler Tiffany Benefits Co | 23 | $618 12.8% of $4,828 |
| Dental | Aetna Life Insurance Co. | Willis Towers Watson Northeast, Inc | 187 | $561 0.8% of $66,943 |
| Vision | Vision Service Plan | Willis Towers Watson Northeast, Inc | 197 | $1,063 5.7% of $18,785 |
| Life | Prudential Insurance Company Of America | Willis Of New York Inc | 347 | $15,398 6.0% of $256,628 |
| Life | Prudential Insurance Company Of America | Willis Insurance Services Of Ca Inc | 347 | $4,548 1.8% of $256,628 |
| Life | Prudential Insurance Company Of America | Img | 347 | $76 0.0% of $256,628 |
| Other | Life Insurance Company Of North America | Willis Towers Watson Northeast, Inc | 319 | $6,228 2.8% of $222,786 |
| Other | Life Insurance Company Of North America | Willis Towers Watson | 319 | $2,789 1.3% of $222,786 |
| Other | Life Insurance Company Of North America | Willis Towers Watson Northeast, Inc | 319 | $37 0.0% of $222,786 |
| Business Travel Accident | Federal Insurance Company | — | 319 | Comp not disclosed |
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.