| Benefit type | Premium | Share | Distribution |
|---|---|---|---|
| Health | $66K | 36.8% | |
| Prescription drug | $66K | 36.8% | |
| Dental | $9K | 5.3% | |
| Vision | $9K | 5.3% | |
| Life | $9K | 5.3% | |
| Short-term disability | $9K | 5.3% | |
| Other | $9K | 5.3% |
| Carrier | Coverage | Total premium | Share | Plans | Contracts | Covered |
|---|---|---|---|---|---|---|
EIN 311069321 | HRx | $66K | 87.5% | 1 | 1 | 164 |
EIN 420127290 | DVLSTDOth | $9K | 12.5% | 1 | 1 | 252 |
| Broker | Loc | Carriers | Commissions | Fees | Total comp | Share | Plans |
|---|---|---|---|---|---|---|---|
| GIBSON INSURANCE AGENCY, INC. | FORT WAYNE, IN | PRINCIPAL LIFE INSURANCE COMPANY, PHYSICIANS HEALTH PLAN OF NORTHERN INDIANA, INC. | $4K | $0 | $4K | 90.4% | 1 |
| JAMES R NELLIGAN & ASSOCIATES LLC | WALL TOWNSHIP, NJ | PRINCIPAL LIFE INSURANCE COMPANY | $0 | $468 | $468 | 9.6% | 1 |