| Benefit type | Premium | Share | Distribution |
|---|---|---|---|
| Health | $1.7M | 46.7% | |
| Prescription drug | $1.7M | 46.7% | |
| Dental | $86K | 2.3% | |
| Vision | $86K | 2.3% | |
| Other | $32K | 0.9% | |
| Short-term disability | $30K | 0.8% | |
| Life | $10K | 0.3% |
| Carrier | Coverage | Total premium | Share | Plans | Contracts | Covered |
|---|---|---|---|---|---|---|
EIN 940360524 | HRx | $1.7M | 92.2% | 1 | 1 | 215 |
EIN 420127290 | DV | $86K | 4.6% | 1 | 1 | 252 |
EIN 470322111 | LSTDOth | $63K | 3.3% | 1 | 5 | 89 |
| Broker | Loc | Carriers | Commissions | Fees | Total comp | Share | Plans |
|---|---|---|---|---|---|---|---|
| DIEGO ADRIAN CONEJO | GARDENA, CA | CALIFORNIA PHYSICIANS' SERVICE DBA BLUE SHIELD OF CALIFORNIA, UNITED OF OMAHA LIFE INSURANCE COMPANY, PRINCIPAL LIFE INSURANCE COMPANY | $92K | $5K | $97K | 65.3% | 1 |
| CLAREMONT BUSINESS GROUP | CONCORD, CA | CALIFORNIA PHYSICIANS' SERVICE DBA BLUE SHIELD OF CALIFORNIA | $37K | $0 | $37K | 25.0% | 1 |
| MERCER HEALTH AND BENEFITS, LLC | CHICAGO, IL | CALIFORNIA PHYSICIANS' SERVICE DBA BLUE SHIELD OF CALIFORNIA, UNITED OF OMAHA LIFE INSURANCE COMPANY, PRINCIPAL LIFE INSURANCE COMPANY | $10K | $0 | $10K | 6.8% | 1 |
| CENTERSTONE INSURANCE AND FINANCIAL | DALLAS, TX | PRINCIPAL LIFE INSURANCE COMPANY | $0 | $4K | $4K | 2.7% | 1 |
| GIS BENEFITS INC | MORRIS, IL | PRINCIPAL LIFE INSURANCE COMPANY | $0 | $373 | $373 | 0.3% | 1 |