| Benefit type | Premium | Share | Distribution |
|---|---|---|---|
| Health | $280K | 15.2% | |
| Prescription drug | $280K | 15.2% | |
| Dental | $256K | 13.9% | |
| Vision | $256K | 13.9% | |
| Life | $256K | 13.9% | |
| Short-term disability | $256K | 13.9% | |
| Long-term disability | $256K | 13.9% |
| Carrier | Coverage | Total premium | Share | Plans | Contracts | Covered |
|---|---|---|---|---|---|---|
EIN 420127290 | DVLSTDLTD | $256K | 47.8% | 1 | 1 | 256 |
EIN 941340523 | HRx | $210K | 39.2% | 1 | 3 | 22 |
EIN 990040115 | HRx | $70K | 13.0% | 1 | 1 | 5 |
| Broker | Loc | Carriers | Commissions | Fees | Total comp | Share | Plans |
|---|---|---|---|---|---|---|---|
| NORTHGATE BENEFITS | NOVATO, CA | PRINCIPAL LIFE INSURANCE COMPANY, KAISER FOUNDATION HEALTH PLAN, INC., KAISER FOUNDATION HEALTH PLAN INC | $36K | $0 | $36K | 74.8% | 1 |
| AMWINS | SANTA ANA, CA | PRINCIPAL LIFE INSURANCE COMPANY | $0 | $12K | $12K | 24.6% | 1 |
| JOHN G JAKIEMIEC | NOVATO, CA | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | $295 | $0 | $295 | 0.6% | 1 |