| Benefit type | Premium | Share | Distribution |
|---|---|---|---|
| Health | $1.4M | 34.3% | |
| Prescription drug | $1.4M | 34.3% | |
| Dental | $208K | 5.2% | |
| Vision | $208K | 5.2% | |
| Life | $208K | 5.2% | |
| Short-term disability | $208K | 5.2% | |
| Long-term disability | $208K | 5.2% | |
| Other | $208K | 5.2% |
| Carrier | Coverage | Total premium | Share | Plans | Contracts | Covered |
|---|---|---|---|---|---|---|
EIN 382069753 | HRx | $694K | 44.3% | 1 | 1 | 92 |
EIN 382359234 | HRx | $666K | 42.4% | 1 | 1 | 105 |
EIN 135123390 | DVLSTDLTDOth | $208K | 13.3% | 1 | 1 | 201 |
| Broker | Loc | Carriers | Commissions | Fees | Total comp | Share | Plans |
|---|---|---|---|---|---|---|---|
| THEODORE SOUPHIS | TROY, MI | BLUE CROSS BLUE SHIELD OF MICHIGAN | $34K | $0 | $34K | 53.2% | 1 |
| HUB INTERNATIONAL MIDWEST LIMITED | GRAND RAPIDS, MI | BLUE CROSS BLUE SHIELD OF MICHIGAN, GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $25K | $5K | $30K | 46.8% | 1 |