| Benefit type | Premium | Share | Distribution |
|---|---|---|---|
| Health | $681K | 23.8% | |
| Dental | $681K | 23.8% | |
| Vision | $681K | 23.8% | |
| Other | $681K | 23.8% | |
| Life | $46K | 1.6% | |
| Short-term disability | $46K | 1.6% | |
| Long-term disability | $46K | 1.6% |
| Carrier | Coverage | Total premium | Share | Plans | Contracts | Covered |
|---|---|---|---|---|---|---|
EIN 390138065 | HDVOth | $681K | 93.7% | 1 | 1 | 100 |
EIN 350980405 | LSTDLTD | $46K | 6.3% | 1 | 1 | 105 |
| Broker | Loc | Carriers | Commissions | Fees | Total comp | Share | Plans |
|---|---|---|---|---|---|---|---|
| RSC INSURANCE BROKERAGE INC | BOSTON, MA | BLUE CROSS & BLUE SHIELD OF WISCONSIN, STANDARD INSURANCE COMPANY | $11K | $217 | $12K | 36.0% | 1 |
| MCCLONE AGENCY INC | MENASHA, WI | BLUE CROSS & BLUE SHIELD OF WISCONSIN, STANDARD INSURANCE COMPANY | $11K | $0 | $11K | 33.5% | 1 |
| JOHNSON INSURANCE SERVICES LLC | MOUNT PLEASANT, WI | BLUE CROSS & BLUE SHIELD OF WISCONSIN, STANDARD INSURANCE COMPANY | $10K | $0 | $10K | 30.5% | 1 |