| Benefit type | Premium | Share | Distribution |
|---|---|---|---|
| Health | $672K | 46.1% | |
| Dental | $131K | 9.0% | |
| Vision | $131K | 9.0% | |
| Life | $131K | 9.0% | |
| Short-term disability | $131K | 9.0% | |
| Long-term disability | $131K | 9.0% | |
| Other | $131K | 9.0% |
| Carrier | Coverage | Total premium | Share | Plans | Contracts | Covered |
|---|---|---|---|---|---|---|
EIN 860004538 | H | $672K | 83.7% | 1 | 1 | 80 |
EIN 420127290 | DVLSTDLTDOth | $131K | 16.3% | 1 | 1 | 158 |
| Broker | Loc | Carriers | Commissions | Fees | Total comp | Share | Plans |
|---|---|---|---|---|---|---|---|
| PONTRELLI, TIMOUR AND ASSOCIATES | SOUTH PASADENA, CA | PRINCIPAL LIFE INSURANCE COMPANY, BLUE CROSS BLUE SHIELD OF ARIZONA | $50K | $5K | $54K | 100.0% | 1 |