| Benefit type | Premium | Share | Distribution |
|---|---|---|---|
| Health | $2.4M | 38.7% | |
| Prescription drug | $2.4M | 38.7% | |
| Life | $307K | 5.0% | |
| Short-term disability | $307K | 5.0% | |
| Long-term disability | $307K | 5.0% | |
| Other | $307K | 5.0% | |
| Dental | $134K | 2.2% | |
| Vision | $22K | 0.4% |
| Carrier | Coverage | Total premium | Share | Plans | Contracts | Covered |
|---|---|---|---|---|---|---|
EIN 382069753 | HRx | $2.4M | 83.7% | 1 | 1 | 396 |
EIN 221211670 | LSTDLTDOth | $307K | 10.8% | 1 | 1 | 268 |
EIN 381791480 | D | $134K | 4.7% | 1 | 1 | 427 |
EIN 430949844 | V | $22K | 0.8% | 1 | 1 | 375 |
| Broker | Loc | Carriers | Commissions | Fees | Total comp | Share | Plans |
|---|---|---|---|---|---|---|---|
| PATRICIA SULLIVAN FORLETTA | BLOOMFIELD HILLS, MI | BLUE CROSS BLUE SHIELD OF MICHIGAN | $71K | $0 | $71K | 55.6% | 1 |
| GALLAGHER BENEFIT SERVICES, INC. | ROLLING MEADOWS, IL | EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO., PRUDENTIAL INSURANCE COMPANY OF AMERICA, BLUE CROSS BLUE SHIELD OF MICHIGAN | $47K | $10K | $56K | 44.3% | 3 |
| IMG | INDIANAPOLIS, IN | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $0 | $58 | $58 | 0.0% | 1 |