| Benefit type | Premium | Share | Distribution |
|---|---|---|---|
| Health | $5.6M | 24.6% | |
| Dental | $5.6M | 24.6% | |
| Vision | $5.6M | 24.6% | |
| Prescription drug | $5.6M | 24.6% | |
| Life | $109K | 0.5% | |
| Other | $109K | 0.5% | |
| Short-term disability | $60K | 0.3% | |
| Long-term disability | $58K | 0.3% |
| Carrier | Coverage | Total premium | Share | Plans | Contracts | Covered |
|---|---|---|---|---|---|---|
EIN 940360524 | HRxDV | $5.6M | 96.1% | 1 | 1 | 729 |
EIN 470322111 | LSTDLTDOth | $227K | 3.9% | 1 | 4 | 590 |
| Broker | Loc | Carriers | Commissions | Fees | Total comp | Share | Plans |
|---|---|---|---|---|---|---|---|
| TOPAZ OWL INSURANCE AGENCY LLC | PHELAN, CA | CALIFORNIA PHYSICIANS' SERVICE (BLUE SHIELD OF CALIFORNIA) | $6K | $96K | $101K | 50.6% | 1 |
| GLENDA LEE JIMINEZ | PHELAN, CA | CALIFORNIA PHYSICIANS' SERVICE (BLUE SHIELD OF CALIFORNIA), UNITED OF OMAHA LIFE INSURANCE COMPANY | $33K | $66K | $99K | 49.4% | 1 |