| Benefit type | Premium | Share | Distribution |
|---|---|---|---|
| Health | $196K | 25.0% | |
| Dental | $196K | 25.0% | |
| Vision | $196K | 25.0% | |
| Prescription drug | $196K | 25.0% |
| Carrier | Coverage | Total premium | Share | Plans | Contracts | Covered |
|---|---|---|---|---|---|---|
EIN 660537624 | HRxDV | $196K | 100.0% | 1 | 1 | 180 |
| Broker | Loc | Carriers | Commissions | Fees | Total comp | Share | Plans |
|---|---|---|---|---|---|---|---|
| JOSE A DIAZ AGOSTO | SAN JUAN, PR | FIRST MEDICAL HEALTH PLAN, INC. | $10K | $0 | $10K | 100.0% | 1 |