Loading employer…
Employer
4000 Fox Hound Drive, Lafayette Hill, PA 19444 · EIN 83-0344521 · Jul 1, 2024 to Jun 30, 2025
Plan year 2024
View
Schedule A
Coverage contracts on the filing. If the carrier did not provide Schedule A, the row is listed with that note.
Visible subtotal $37,499
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | Optum Health Unimerica Insurance Company | — | — | Comp not disclosed Premium $203 |
| Stop-loss | Sun Life Assurance Company | — | 143 | Comp not disclosed Premium $547,362 |
| Dental | The Guardian Life Insurance Company Of America | Tompkins Insurance | 156 | $4,646 30.6% of $15,182 |
| Vision | National Vision Administrators, LLC (Heartland) | Tompkins Insurance | 202 | $407 5.0% of $8,132 |
| Life | Equitable Financial Life Insurance Company Of America | Tompkins Insurance | 192 | $25,187 18.7% of $134,402 |
| Life | Equitable Financial Life Insurance Company Of America | James R Nelligan & Associates | 192 | $7,259 5.4% of $134,402 |
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.
Visible subtotal $88,740
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| The Benecon Group LLC | Broker | $34,088 | $233.48 |
| Lr Webber | Broker | $25,730 | $176.23 |
| Independence Administrators | Admin | $21,798 | $149.30 |
| Connect Care 3 | Patient Advocate | $7,124 | $48.79 |