| Benefit type | Premium | Share | Distribution |
|---|---|---|---|
| Health | $1.1M | 25.0% | |
| Dental | $1.1M | 25.0% | |
| Vision | $1.1M | 25.0% | |
| Prescription drug | $1.1M | 25.0% |
| Carrier | Coverage | Total premium | Share | Plans | Contracts | Covered |
|---|---|---|---|---|---|---|
EIN 620427913 | HRxDV | $1.1M | 100.0% | 1 | 1 | 230 |
| Broker | Loc | Carriers | Commissions | Fees | Total comp | Share | Plans |
|---|---|---|---|---|---|---|---|
| ORMA R SMITH III | MEMPHIS, TN | BLUECROSS BLUESHIELD OF TENNESSEE, INC. | $65K | $0 | $65K | 100.0% | 1 |