| Benefit type | Premium | Share | Distribution |
|---|---|---|---|
| Health | $1.2M | 25.0% | |
| Dental | $1.2M | 25.0% | |
| Vision | $1.2M | 25.0% | |
| Prescription drug | $1.2M | 25.0% |
| Carrier | Coverage | Total premium | Share | Plans | Contracts | Covered |
|---|---|---|---|---|---|---|
EIN 560894904 | HRxDV | $1.2M | 100.0% | 1 | 1 | 175 |
| Broker | Loc | Carriers | Commissions | Fees | Total comp | Share | Plans |
|---|---|---|---|---|---|---|---|
| WILLIAM HARTSFIELD, JR. | BIRMINGHAM, AL | BLUE CROSS BLUE SHIELD OF NORTH CAROLINA | $344 | $0 | $344 | 100.0% | 1 |