| Benefit type | Premium | Share | Distribution |
|---|---|---|---|
| Health | $200K | 42.9% | |
| Prescription drug | $200K | 42.9% | |
| Other | $18K | 3.9% | |
| Dental | $15K | 3.3% | |
| Vision | $15K | 3.3% | |
| Life | $15K | 3.3% | |
| Short-term disability | $3K | 0.6% |
| Carrier | Coverage | Total premium | Share | Plans | Contracts | Covered |
|---|---|---|---|---|---|---|
EIN 941340523 | HRx | $200K | 91.7% | 1 | 1 | 13 |
EIN 954331852 | DVLOth | $15K | 7.0% | 1 | 1 | 107 |
EIN 822723296 | STDOth | $3K | 1.3% | 1 | 1 | 7 |
| Broker | Loc | Carriers | Commissions | Fees | Total comp | Share | Plans |
|---|---|---|---|---|---|---|---|
| ACRISURE LLC | IRVINE, CA | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY, KAISER FOUNDATION HEALTH PLAN INC. | $16K | $0 | $16K | 98.8% | 1 |
| VARIOUS - SEE ATTACHED | COLUMBUS, GA | AFLAC | $194 | $0 | $194 | 1.2% | 1 |