| Benefit type | Premium | Share | Distribution |
|---|---|---|---|
| Health | $440K | 39.3% | |
| Prescription drug | $440K | 39.3% | |
| Dental | $106K | 9.4% | |
| Vision | $106K | 9.4% | |
| Life | $14K | 1.2% | |
| Other | $14K | 1.2% |
| Carrier | Coverage | Total premium | Share | Plans | Contracts | Covered |
|---|---|---|---|---|---|---|
EIN 941340523 | HRx | $440K | 78.6% | 1 | 1 | 92 |
EIN 591031071 | DV | $106K | 18.9% | 1 | 1 | 170 |
EIN 231503749 | LOth | $14K | 2.5% | 1 | 1 | 170 |
| Broker | Loc | Carriers | Commissions | Fees | Total comp | Share | Plans |
|---|---|---|---|---|---|---|---|
| GEORGE PETERSEN INSURANCE AGENCY | SAN RAFAEL, CA | LIFE INSURANCE COMPANY OF NORTH AMERICA, CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES, KAISER FOUNDATION HEALTH PLAN, INC. | $29K | $0 | $29K | 100.0% | 1 |