| Benefit type | Premium | Share | Distribution |
|---|---|---|---|
| Health | $3.1M | 27.7% | |
| Dental | $3.1M | 27.7% | |
| Prescription drug | $3.1M | 27.7% | |
| Vision | $385K | 3.4% | |
| Life | $385K | 3.4% | |
| Short-term disability | $385K | 3.4% | |
| Long-term disability | $385K | 3.4% | |
| Other | $385K | 3.4% |
| Carrier | Coverage | Total premium | Share | Plans | Contracts | Covered |
|---|---|---|---|---|---|---|
EIN 361236610 | HRxD | $3.1M | 89.1% | 1 | 1 | 655 |
EIN 362598882 | VLSTDLTDOth | $385K | 10.9% | 1 | 1 | 383 |
| Broker | Loc | Carriers | Commissions | Fees | Total comp | Share | Plans |
|---|---|---|---|---|---|---|---|
| JACQUELINE K QUALIZZA | OLATHE, KS | BLUECROSS BLUESHIELD OF OKLAHOMA, DEARBORN LIFE INSURANCE COMPANY | $215K | $0 | $215K | 100.0% | 1 |