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Employer
500 Spring Garden St, Philadelphia, PA 19123 · EIN 27-1934235 · 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.
Visible subtotal $27,349
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Independence Blue Cross | Emerson Rogers LLC | 66 | $17,244 4.7% of $370,835 |
| Other | Independence Blue Cross | Emerson Rogers LLC | 42 | $567 0.7% of $77,251 |
| Medical | Principal Life Insurance Company | Simkiss & Block | 102 | $4,918 9.7% of $50,446 |
| Medical | Principal Life Insurance Company | Alera General Agency Ins Services | 102 | $2,518 5.0% of $50,446 |
| Medical | Principal Life Insurance Company | American Insurance Administrators | 102 | $644 1.3% of $50,446 |
| Voluntary Accident | Reliance Standard | The Simkiss Agency Inc | 25 | $635 15.0% of $4,234 |
| Voluntary Accident | Reliance Standard | Gis Benefits Inc | 25 | $279 6.6% of $4,234 |
| Voluntary Accident | Reliance Standard | American Insurance Administrators | 25 | $127 3.0% of $4,234 |
| Other | Reliance Standard | The Simkiss Agency Inc | 9 | $313 15.0% of $2,089 |
| Other | Reliance Standard | Mark Mettille | 9 | $104 5.0% of $2,089 |
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 $4,212
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| The Benecon Group | Broker | $4,212 | $62.87 |