| Benefit type | Premium | Share | Distribution |
|---|---|---|---|
| Health | $555K | 45.2% | |
| Prescription drug | $555K | 45.2% | |
| Dental | $63K | 5.1% | |
| Life | $17K | 1.4% | |
| Other | $17K | 1.4% | |
| Short-term disability | $13K | 1.1% | |
| Vision | $8K | 0.7% |
| Carrier | Coverage | Total premium | Share | Plans | Contracts | Covered |
|---|---|---|---|---|---|---|
EIN 941340523 | HRx | $401K | 62.2% | 1 | 1 | 53 |
EIN 461183948 | HRx | $155K | 24.0% | 1 | 1 | 24 |
EIN 470322111 | DVLOth | $75K | 11.7% | 1 | 3 | 112 |
EIN 822723296 | LSTDOth | $13K | 2.0% | 1 | 1 | 19 |
| Broker | Loc | Carriers | Commissions | Fees | Total comp | Share | Plans |
|---|---|---|---|---|---|---|---|
| HEFFERNAN INSURANCE BROKERS | WALNUT CREEK, CA | UNITED OF OMAHA LIFE INSURANCE COMPANY, KAISER FOUNDATION HEALTH PLAN INC., SUTTER HEALTH PLAN | $36K | $1K | $37K | 95.6% | 1 |
| VARIOUS - SEE ATTACHMENT | COLUMBUS, GA | AFLAC | $2K | $58 | $2K | 4.4% | 1 |