| Benefit type | Premium | Share | Distribution |
|---|---|---|---|
| Health | $2.2M | 42.4% | |
| Prescription drug | $2.2M | 42.4% | |
| Other | $169K | 3.2% | |
| Life | $164K | 3.1% | |
| Short-term disability | $164K | 3.1% | |
| Long-term disability | $164K | 3.1% | |
| Dental | $117K | 2.2% | |
| Vision | $25K | 0.5% |
| Carrier | Coverage | Total premium | Share | Plans | Contracts | Covered |
|---|---|---|---|---|---|---|
EIN 382069753 | HRx | $2.2M | 87.8% | 1 | 1 | 301 |
EIN 381082080 | LSTDLTDOth | $164K | 6.4% | 1 | 1 | 188 |
EIN 381791480 | D | $117K | 4.6% | 1 | 1 | 342 |
EIN 061227840 | V | $25K | 1.0% | 1 | 1 | 148 |
EIN 382776791 | Oth | $5K | 0.2% | 1 | 1 | 181 |
| Broker | Loc | Carriers | Commissions | Fees | Total comp | Share | Plans |
|---|---|---|---|---|---|---|---|
| PATRICIA SULLIVAN FORLETTA | BLOOMFIELD HILLS, MI | BLUE CROSS BLUE SHIELD OF MICHIGAN | $67K | $0 | $67K | 65.7% | 1 |
| GALLAGHER BENEFIT SERVICES, INC. | ROLLING MEADOWS, IL | DELTA DENTAL OF MICHIGAN, BLUE CROSS BLUE SHIELD OF MICHIGAN, SUN LIFE ASSURANCE COMPANY OF CANADA, VISION SERVICE PLAN | $31K | $4K | $35K | 34.3% | 1 |