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Employer
45 W Industrial Blvd, Paoli, PA 19301 · EIN 87-3948330 · Jan 1, 2025 to Dec 31, 2025
Plan year 2025
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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 $271,803
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Anthem Blue Cross Blue Shield | Ms Insurance Solutions Inc | 50 | $28,025 4.9% of $570,033 |
| Medical | Anthem Blue Cross Blue Shield | Birch Benefits, LLC | 50 | $8,700 1.5% of $570,033 |
| Medical | Hawaii Medical Service Association | Birch Benefits, LLC | 132 | $37,540 3.4% of $1,101,216 |
| Medical | Independence Blue Cross | Kistler Tiffany Benefits Co | 503 | $121,491 3.4% of $3,586,071 |
| Medical | Kaiser Foundation Health Plan, Inc. | Birch Benefits, LLC | 94 | $24,283 3.5% of $700,716 |
| Dental | The Metropolitan Life Insurance Company | Birch Benefits, LLC | 819 | $14,877 5.2% of $284,344 |
| Vision | Vision Service Plan | Birch Benefits, LLC | 422 | $1,686 4.3% of $39,111 |
| Life | United Of Omaha Life Insurance Company | Birch Benefits, LLC | 586 | $33,207 11.7% of $282,693 |
| Other | Independence Blue Cross | — | 304 | Comp not disclosed Premium $681,138 |
| Legal | Metropolitan General Insurance Company | Birch Benefits, LLC | 43 | $1,185 10.8% of $10,961 |
| Legal | Metropolitan General Insurance Company | Birch Benefits, LLC | 43 | $809 7.4% of $10,961 |
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.