| Benefit type | Premium | Share | Distribution |
|---|---|---|---|
| Health | $1.6M | 47.4% | |
| Prescription drug | $1.6M | 47.4% | |
| Dental | $85K | 2.5% | |
| Long-term disability | $45K | 1.3% | |
| Life | $23K | 0.7% | |
| Other | $23K | 0.7% |
| Carrier | Coverage | Total premium | Share | Plans | Contracts | Covered |
|---|---|---|---|---|---|---|
EIN 311069321 | HRx | $1.6M | 91.4% | 1 | 1 | 257 |
EIN 351682400 | D | $85K | 4.8% | 1 | 1 | 248 |
EIN 010278678 | LTD | $45K | 2.5% | 1 | 1 | 200 |
EIN 570523959 | LOth | $23K | 1.3% | 1 | 1 | 197 |
| Broker | Loc | Carriers | Commissions | Fees | Total comp | Share | Plans |
|---|---|---|---|---|---|---|---|
| 1ST SOURCE INSURANCE | MISHAWAKA, IN | PHYSICIANS HEALTH PLAN OF NORTHERN INDIANA INC., COMPANION LIFE INSURANCE COMPANY | $45K | $0 | $45K | 75.2% | 1 |
| KENNETH R OLSON | ORLAND PARK, IL | HEALTH RESOURCES INC. | $8K | $0 | $8K | 14.1% | 1 |
| SHULTZ INSURANCE AGENCY INC | SOUTH BEND, IN | UNUM LIFE INSURANCE COMPANY OF AMERICA | $4K | $335 | $5K | 7.6% | 1 |
| PHYSICIANS HEALTH PLAN OF NORTHERN | FORT WAYNE, IN | COMPANION LIFE INSURANCE COMPANY | $1K | $0 | $1K | 2.3% | 1 |
| SUMMIT REINSURANCE SERVICES INC | FORT WAYNE, IN | COMPANION LIFE INSURANCE COMPANY | $459 | $0 | $459 | 0.8% | 1 |