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Employer
3000 W. School House Lane, Philadelphia, PA 19144 · EIN 23-0953760 · Nov 1, 2024 to Oct 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 $32,236
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Unum Insurance Company | Conner Strong & Buckelew Companies | 14 | $388 18.0% of $2,159 |
| Medical | Unum Insurance Company | James R Nelligan & Associates | 14 | $97 4.5% of $2,159 |
| Medical | Unum Insurance Company | Conner Strong & Buckelew Companies | 12 | $472 18.0% of $2,623 |
| Medical | Unum Insurance Company | James R Nelligan & Associates | 12 | $118 4.5% of $2,623 |
| Medical | Unum Insurance Company | Conner Strong & Buckelew Companies | 20 | $961 18.2% of $5,272 |
| Medical | Unum Insurance Company | James R Nelligan & Associates | 20 | $240 4.6% of $5,272 |
| Life | Unum Life Insurance Company Of America | Conner Strong & Buckelew Companies | 62 | $4,180 15.6% of $26,758 |
| Life | Unum Life Insurance Company Of America | James R Nelligan & Associates | 62 | $1,229 4.6% of $26,758 |
| Life | Unum Life Insurance Company Of America | Plansource Benefit Administrators | 62 | $246 0.9% of $26,758 |
| Life | Unum Life Insurance Company Of America | Conner Strong & Buckelew Companies | 235 | $16,509 11.7% of $141,419 |
| Life | Unum Life Insurance Company Of America | James R Nelligan & Associates | 235 | $6,497 4.6% of $141,419 |
| Life | Unum Life Insurance Company Of America | Plansource Benefit Administrators | 235 | $1,299 0.9% of $141,419 |
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.