| Benefit type | Premium | Share | Distribution |
|---|---|---|---|
| Health | $1.3M | 47.5% | |
| Prescription drug | $1.3M | 47.5% | |
| Dental | $75K | 2.7% | |
| Long-term disability | $42K | 1.5% | |
| Life | $13K | 0.5% | |
| Other | $13K | 0.5% |
| Carrier | Coverage | Total premium | Share | Plans | Contracts | Covered |
|---|---|---|---|---|---|---|
EIN 311069321 | HRx | $1.3M | 91.1% | 1 | 1 | 217 |
EIN 351682400 | D | $75K | 5.1% | 1 | 1 | 207 |
EIN 010278678 | LTD | $42K | 2.8% | 1 | 1 | 168 |
EIN 570523959 | LOth | $13K | 0.9% | 1 | 1 | 171 |
| 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 | $39K | $0 | $39K | 75.0% | 1 |
| KENNETH R OLSON | ORLAND PARK, IL | PARAMOUNT DENTAL, INC. | $8K | $0 | $8K | 14.5% | 1 |
| SHULTZ INSURANCE AGENCY INC | SOUTH BEND, IN | UNUM LIFE INSURANCE COMPANY OF AMERICA | $4K | $311 | $4K | 8.5% | 1 |
| PHYSICIANS HEALTH PLAN OF NORTHERN | FORT WAYNE, IN | COMPANION LIFE INSURANCE COMPANY | $761 | $0 | $761 | 1.5% | 1 |
| SUMMIT REINSURANCE SERVICES INC | FORT WAYNE, IN | COMPANION LIFE INSURANCE COMPANY | $254 | $0 | $254 | 0.5% | 1 |