| Benefit type | Premium | Share | Distribution |
|---|---|---|---|
| Health | $275K | 50.3% | |
| Dental | $103K | 18.8% | |
| Vision | $103K | 18.8% | |
| Short-term disability | $67K | 12.2% |
| Carrier | Coverage | Total premium | Share | Plans | Contracts | Covered |
|---|---|---|---|---|---|---|
EIN 620427913 | HDV | $378K | 80.5% | 1 | 2 | 344 |
EIN 822723296 | STD | $62K | 13.3% | 1 | 1 | 91 |
EIN 720281240 | $25K | 5.3% | 1 | 1 | 13 | |
EIN 470322111 | STD | $4K | 0.9% | 1 | 1 | 270 |
| Broker | Loc | Carriers | Commissions | Fees | Total comp | Share | Plans |
|---|---|---|---|---|---|---|---|
| JEFFREY WALLACE | MARYVILLE, TN | BLUERE OF TENNESSEE, BLUECROSS BLUE SHIELD OF TENNESSEE, INC. | $50K | $0 | $50K | 76.7% | 1 |
| VARIOUS - SEE ATTACHED | COLUMBUS, GA | AFLAC | $12K | $512 | $12K | 18.7% | 1 |
| JEFF WALLACE | MARYVILLE, TN | PAN-AMERICAN LIFE INSURANCE CO | $2K | $0 | $2K | 3.7% | 1 |
| BENEFIT SERVICES GROUP, INC. | MARYVILLE, TN | UNITED OF OMAHA LIFE INSURANCE | $660 | $0 | $660 | 1.0% | 1 |