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Employer
1741 Tomlinson Road, Philadelphia, PA 19116 · EIN 20-2030850 · May 1, 2024 to Apr 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 $96,320
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Cigna Health And Life Insurance Company | Alliant Insurance Services, Inc. | 244 | $71,568 9.5% of $755,917 |
| Dental | The Guardian Life Insurance Company Of America | Alliant Insurance Services, Inc. | 239 | $6,061 24.5% of $24,746 |
| Dental | The Guardian Life Insurance Company Of America | Watchtower Benefits LLC | 239 | $276 1.1% of $24,746 |
| Vision | Unitedhealthcare Insurance Company | Alliant Insurance Services, Inc. | 411 | $2,606 9.4% of $27,785 |
| Life | The Lincoln National Life Insurance Company | Alliant Insurance Services, Inc. | 320 | $4,712 7.4% of $63,865 |
| Life | The Lincoln National Life Insurance Company | Alliant Insurance Services, Inc. | 55 | $333 18.0% of $1,851 |
| Other | The Lincoln National Life Insurance Company | Alliant Insurance Services, Inc. | 320 | $1,379 2.4% of $58,546 |
| Prepaid Legal Services | Arag Insurance Company | Mesirow Insurance Serv Inc. | 40 | $608 10.0% of $6,083 |
| Other | The Lincoln National Life Insurance Company | Alliant Insurance Services, Inc. | 153 | $8,727 12.7% of $68,535 |
| Accident, Bta | Life Insurance Company Of North America | Lockton Companies, LLC | 413 | $50 2.6% of $1,900 |
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.