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Employer
370 Reed Road, Broomall, PA 19008 · EIN 82-4454389 · Jan 1, 2024 to Dec 31, 2024
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 $214,149
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Independence Blue Cross | Lockton Companies, LLC | 548 | $120,527 2.9% of $4,176,210 |
| Dental + Vision | Metropolitan Life Insurance Company | Lockton Companies, LLC | 751 | $40,768 8.8% of $462,044 |
| Dental + Vision | Metropolitan Life Insurance Company | Gis Benefits, Inc. | 751 | $29,781 6.4% of $462,044 |
| Dental + Vision | Metropolitan Life Insurance Company | Lockton Companies, LLC | 751 | $5,438 1.2% of $462,044 |
| Dental + Vision | Metropolitan Life Insurance Company | Nfp Corporate Services (Ny) LLC | 751 | $1,217 0.3% of $462,044 |
| Dental + Vision | Metropolitan Life Insurance Company | Lockton Companies, LLC | 751 | $107 0.0% of $462,044 |
| Dental + Vision | Metropolitan Life Insurance Company | Nfp Corporate Services (Ny) LLC | 751 | $-1 0.0% of $462,044 |
| Accident | Metropolitan Life Insurance Company | — | 296 | Schedule A not provided |
| Accident | Metropolitan Life Insurance Company | — | 296 | Schedule A not provided |
| Accident | Metropolitan Life Insurance Company | — | 296 | Schedule A not provided |
| Accident | Metropolitan Life Insurance Company | — | 296 | Schedule A not provided |
| Accident | Metropolitan Life Insurance Company | — | 296 | Schedule A not provided |
| Accident | Metropolitan Life Insurance Company | — | 296 | Schedule A not provided |
| Critical Illness | Metropolitan Life Insurance Company | — | 126 | Schedule A not provided |
| Critical Illness | Metropolitan Life Insurance Company | — | 126 | Schedule A not provided |
| Critical Illness | Metropolitan Life Insurance Company | — | 126 | Schedule A not provided |
| Critical Illness | Metropolitan Life Insurance Company | — | 126 | Schedule A not provided |
| Critical Illness | Metropolitan Life Insurance Company | — | 126 | Schedule A not provided |
| Critical Illness | Metropolitan Life Insurance Company | — | 126 | Schedule A not provided |
| Critical Illness | Metropolitan Life Insurance Company | — | 126 | 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.
No Schedule C parties in this year.