| Benefit type | Premium | Share | Distribution |
|---|---|---|---|
| Health | $669K | 24.4% | |
| Dental | $669K | 24.4% | |
| Vision | $669K | 24.4% | |
| Prescription drug | $669K | 24.4% | |
| Other | $33K | 1.2% | |
| Life | $27K | 1.0% | |
| Short-term disability | $6K | 0.2% |
| Carrier | Coverage | Total premium | Share | Plans | Contracts | Covered |
|---|---|---|---|---|---|---|
EIN 620427913 | HRxDV | $669K | 95.3% | 1 | 1 | 195 |
EIN 470322111 | LOth | $27K | 3.8% | 1 | 1 | 109 |
EIN 570144607 | STDOth | $6K | 0.8% | 1 | 1 | 9 |
| Broker | Loc | Carriers | Commissions | Fees | Total comp | Share | Plans |
|---|---|---|---|---|---|---|---|
| AUSTIN MADISON | NASHVILLE, TN | BLUECROSS BLUESHIELD OF TENNESSEE, INC. | $35K | $0 | $35K | 75.8% | 1 |
| HUB INTERNATIONAL MIDWEST LIMITED | NASHVILLE, TN | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY, UNITED OF OMAHA LIFE INSURANCE COMPANY | $4K | $2K | $6K | 12.8% | 1 |
| DOUGLAS ALLEN FREEMAN | GALLATIN, TN | BLUECROSS BLUESHIELD OF TENNESSEE, INC. | $3K | $0 | $3K | 6.6% | 1 |
| JOSEPH LACHER | NASHVILLE, TN | BLUECROSS BLUESHIELD OF TENNESSEE, INC. | $2K | $0 | $2K | 3.4% | 1 |
| WILLIAM RICHARD KYZER | HERMITAGE, TN | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $141 | $60 | $201 | 0.4% | 1 |
| NICHOLAS MOOR WEISSFELD | KNOXVILLE, TN | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $121 | $35 | $156 | 0.3% | 1 |
| DANIEL JAMES PERKINS | BRENTWOOD, TN | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $130 | $0 | $130 | 0.3% | 1 |
| BENEFOUNDRY INC | ANTIOCH, TN | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $51 | $15 | $66 | 0.1% | 1 |
| LVI BENEFITS SERVICES LLC | CLARKSVILLE, TN | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $37 | $0 | $37 | 0.1% | 1 |
| SHEILA A SHELL | GOODLETTSVILLE, TN | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $30 | $0 | $30 | 0.1% | 1 |
| LISA JENNETTE UNDERHILL | BRENTWOOD, TN | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $4 | $0 | $4 | 0.0% | 1 |
| ELITE ADMINISTRATION | GREER, SC | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2 | $0 | $2 | 0.0% | 1 |
| LYNN MARIE BARRY | LANGHORNE, PA | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $0 | $0 | $0 | 0.0% | 1 |