| Benefit type | Premium | Share | Distribution |
|---|---|---|---|
| Health | $3.2M | 23.7% | |
| Dental | $3.2M | 23.7% | |
| Vision | $3.2M | 23.7% | |
| Prescription drug | $3.2M | 23.7% | |
| Life | $182K | 1.3% | |
| Short-term disability | $182K | 1.3% | |
| Long-term disability | $182K | 1.3% | |
| Other | $182K | 1.3% |
| Carrier | Coverage | Total premium | Share | Plans | Contracts | Covered |
|---|---|---|---|---|---|---|
EIN 620427913 | HRxDV | $3.2M | 94.6% | 1 | 1 | 478 |
EIN 420127290 | LSTDLTDOth | $182K | 5.4% | 1 | 1 | 263 |
| Broker | Loc | Carriers | Commissions | Fees | Total comp | Share | Plans |
|---|---|---|---|---|---|---|---|
| AUSTIN MADISON | NASHVILLE, TN | BLUECROSS BLUESHIELD OF TENNESSEE, INC. | $68K | $0 | $68K | 45.6% | 1 |
| DOUGLAS ALLEN FREEMAN | NASHVILLE, TN | BLUECROSS BLUESHIELD OF TENNESSEE, INC. | $43K | $0 | $43K | 28.6% | 1 |
| HUB INTERNATIONAL MIDWEST LIMITED | RIVERSIDE, CA | PRINCIPAL LIFE INSURANCE COMPANY | $31K | $7K | $39K | 25.8% | 1 |