| Benefit type | Premium | Share | Distribution |
|---|---|---|---|
| Health | $5.2M | 22.8% | |
| Prescription drug | $5.2M | 22.8% | |
| Dental | $5.0M | 22.1% | |
| Vision | $5.0M | 22.1% | |
| Other | $587K | 2.6% | |
| Life | $577K | 2.5% | |
| Short-term disability | $577K | 2.5% | |
| Long-term disability | $577K | 2.5% |
| Carrier | Coverage | Total premium | Share | Plans | Contracts | Covered |
|---|---|---|---|---|---|---|
EIN 362739571 | HRxDVLSTDLTDOth | $5.6M | 97.2% | 1 | 2 | 3,198 |
EIN 581592076 | HRx | $150K | 2.6% | 1 | 4 | 16 |
EIN 570144607 | Oth | $7K | 0.1% | 1 | 1 | 16 |
EIN 041590994 | Oth | $2K | 0.0% | 1 | 1 | 1 |
| Broker | Loc | Carriers | Commissions | Fees | Total comp | Share | Plans |
|---|---|---|---|---|---|---|---|
| BIJAN NOORI CORPORATION | TRABUCO CANYON, CA | UNITED HEALTHCARE INSURANCE COMPANY, KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST, KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC., KAISER FOUNDATION HEALTH PLAN OF COLORADO | $166K | $0 | $166K | 38.1% | 1 |
| BR BENEFITS & INSURANCE SVCS. | CALABASAS, CA | UNITED HEALTHCARE INSURANCE COMPANY | $110K | $0 | $110K | 25.2% | 1 |
| MARSH & MCLENNAN AGENCY LLC | SAN DIEGO, CA | UNITED HEALTHCARE INSURANCE COMPANY, KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST, KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC., KAISER FOUNDATION HEALTH PLAN OF COLORADO | $101K | $0 | $101K | 23.3% | 1 |
| BR BENEFITS & INSURANCE SVCS, INC. | CALABASAS, CA | UNITED HEALTHCARE INSURANCE COMPANY | $54K | $0 | $54K | 12.4% | 1 |
| VARIOUS - SEE ATTACHMENT | COLUMBIA, SC | THE PAUL REVERE LIFE INSURANCE COMPANY, COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $4K | $691 | $4K | 1.0% | 1 |