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PENNSYLVANIA AMBULANCE
Sponsor portfolio
Welfare / Health
EIN
462961683
PENNSYLVANIA AMBULANCE
1000 DUNHAM DR · DUNMORE, PA 18512
5705581212
Plans filed
2
Years active
2022–2024
Industry
NAICS 62
Latest filing
2024
Total premiums (latest)
i
$258K
No prior year
Persons covered
i
96
No prior year
Total participants
i
96
No prior year
Plans filed
i
2
No prior year
Plans under this sponsor
2 plans
Plan #501
$258K
PENNSYLVANIA AMBULANCE, LLC GROUP MEDICAL PLAN
Self-funded
96 covered
·
1 carrier
Primary: HM LIFE INSURANCE COMPANY
Plan #502
$47K
PENNSYLVANIA AMBULANCE, LLC GROUP INSURANCE PLAN
Mixed
68 covered
·
2 carriers
Primary: GUARDIAN LIFE INSURANCE COMPANY
Coverage overview
Aggregate, latest year
Benefit type
Premium
Share
Distribution
Stop-loss
$258K
100.0%
Carrier overview
1 carrier · all plans
Carrier
Coverage
Total premium
Share
Plans
Contracts
Covered
HM LIFE INSURANCE COMPANY
EIN 061041332
SL
$258K
100.0%
1
1
96
History & trajectory
3 years · all plans
Total premiums
Summed across all plans for this sponsor.
Persons covered
EOY headcount summed across all plans.
Carrier mix
Premium by top carriers, summed across plans.
Broker compensation
Comp by top brokers, summed across plans.
Policy details
Latest year, by plan
Plan #501
PENNSYLVANIA AMBULANCE, LLC GROUP MEDICAL PLAN
96 covered · 1 contract
$258K
Plan #502
PENNSYLVANIA AMBULANCE, LLC GROUP INSURANCE PLAN
68 covered · 2 contracts
$47K
Company contact details
Filing signers, plan administrators, auditors, actuaries
3 contacts
Provider details
Schedule C providers, welfare brokers and carriers
4 providers
Sponsor documents
Form 5500 filings and Top Hat statements on this EIN
14 documents - 3 plans - 10 years