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Employer
1000 Floral Vale Blvd, Suite 400, Yardley, PA 19067 · EIN 20-3589861 · Jul 1, 2024 to Jun 30, 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.
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Stop-loss | HM Life Insurance Company | — | — | Comp not disclosed Premium $506 |
| Stop-loss | Sun Life Assurance Company | — | 341 | Comp not disclosed Premium $1,298,793 |
| Dental | Delta Dental Of Pennsylvania | — | — | Schedule A not provided |
| Vision | Eyemed Vision Care | — | — | Schedule A not provided |
| Supplemental | Colonial Life & Accident Insurance Company | — | — | Schedule A not provided |
| Supplemental | The Paul Revere Life Insurance Company | — | — | Schedule A not provided |
| Voluntary | Sun Life Assurance Company Of Canada | — | — | Schedule A not provided |
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 $354,556
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| Bek Resources | Broker | $169,059 | $495.77 |
| The Benecon Group LLC | Broker | $106,064 | $311.04 |
| Hub Int. (Pa) | Broker | $90 | $0.26 |
| Hub Intl. Ne Blue Bell (Isi Benefit | Broker | $-2,948 | $-8.65 |
| Independence Administrators' | Admin | $62,065 | $182.01 |
| Connectcare 3 | Patient Advocate | $20,226 | $59.31 |