| Benefit type | Premium | Share | Distribution |
|---|---|---|---|
| Health | $621K | 23.6% | |
| Dental | $621K | 23.6% | |
| Vision | $621K | 23.6% | |
| Prescription drug | $621K | 23.6% | |
| Life | $36K | 1.4% | |
| Short-term disability | $36K | 1.4% | |
| Long-term disability | $36K | 1.4% | |
| Other | $36K | 1.4% |
| Carrier | Coverage | Total premium | Share | Plans | Contracts | Covered |
|---|---|---|---|---|---|---|
EIN 350781558 | HRxDVLSTDLTDOth | $657K | 100.0% | 1 | 2 | 172 |
| Broker | Loc | Carriers | Commissions | Fees | Total comp | Share | Plans |
|---|---|---|---|---|---|---|---|
| GIBSON INSURANCE AGENCY, INC. | SOUTH BEND, IN | ANTHEM INSURANCE COMPANIES, INC., ANTHEM LIFE INSURANCE COMPANY | $38K | $0 | $38K | 98.4% | 1 |
| INDIANA CHAMBER INS. AGENCY, INC. | INDIANAPOLIS, IN | ANTHEM INSURANCE COMPANIES, INC. | $621 | $0 | $621 | 1.6% | 1 |