| Benefit type | Premium | Share | Distribution |
|---|---|---|---|
| Health | $2.5M | 41.5% | |
| Prescription drug | $2.5M | 41.5% | |
| Other | $329K | 5.6% | |
| Life | $259K | 4.4% | |
| Short-term disability | $200K | 3.4% | |
| Long-term disability | $200K | 3.4% | |
| Vision | $24K | 0.4% |
| Carrier | Coverage | Total premium | Share | Plans | Contracts | Covered |
|---|---|---|---|---|---|---|
EIN 382715520 | HRx | $2.5M | 87.4% | 1 | 1 | 489 |
EIN 042381280 | LSTDLTDOth | $329K | 11.7% | 1 | 5 | 291 |
EIN 430949844 | V | $24K | 0.9% | 1 | 1 | 484 |
EIN 382069753 | $0 | 0.0% | 1 | 1 | 562 |
| Broker | Loc | Carriers | Commissions | Fees | Total comp | Share | Plans |
|---|---|---|---|---|---|---|---|
| ROXANNA DIETERLE | GRAND RAPIDS, MI | PRIORITY HEALTH | $75K | $0 | $75K | 60.8% | 1 |
| GALLAGHER BENEFIT SERVICES, INC. | ARLINGTON HEIGHTS, IL | UNUM LIFE INSURANCE COMPANY OF AMERICA, UNUM INSURANCE COMPANY, NATIONAL VISION ADMINISTRATORS, LLC, BLUE CROSS BLUE SHIELD OF MICHIGAN | $42K | $984 | $43K | 34.4% | 1 |
| PATRICIA SULLIVAN FORLETTA | BLOOMFIELD HILLS, MI | BLUE CROSS BLUE SHIELD OF MICHIGAN | $0 | $4K | $4K | 3.2% | 1 |
| DOUGLAS L DERKS | BLOOMFIELD HILLS, MI | BLUE CROSS BLUE SHIELD OF MICHIGAN | $0 | $2K | $2K | 1.6% | 1 |