| Benefit type | Premium | Share | Distribution |
|---|---|---|---|
| Health | $869K | 32.1% | |
| Dental | $869K | 32.1% | |
| Vision | $869K | 32.1% | |
| Life | $33K | 1.2% | |
| Short-term disability | $33K | 1.2% | |
| Long-term disability | $33K | 1.2% |
| Carrier | Coverage | Total premium | Share | Plans | Contracts | Covered |
|---|---|---|---|---|---|---|
EIN 860257201 | HDV | $869K | 96.4% | 1 | 1 | 611 |
EIN 350980405 | LSTDLTD | $33K | 3.6% | 1 | 1 | 149 |
| Broker | Loc | Carriers | Commissions | Fees | Total comp | Share | Plans |
|---|---|---|---|---|---|---|---|
| OTIS, ANTOINETTE | SAINT LOUIS, MO | HEALTH ALLIANCE LIFE INSURANCE COMPANY, STANDARD INSURANCE COMPANY | $41K | $4K | $45K | 100.0% | 1 |