Plan Ledger DOL Form 5500 · updated monthly

Mbi Acquisition Corp.benefits

Workwell Works Occupational Medicine Health and Welfare Benefit Plan · LONGMONT, CO · plan year 2023

Broker compensation reported · 2023
$44,423

Mbi Acquisition Corp.'s benefits plan covered 0 active participants in 2023, providing health · life · dental · vision · short-term disability · long-term disability · death benefits · other. Insurance brokers and agents were paid $44,423 in commissions and fees, costs that ultimately come out of what the employer and employees pay for coverage.

Insurance contracts · 20233
ROCKY MOUNTAIN HOSPITAL AND MEDICAL SERVICE, INC. · health drug dental visionpremiums n/a · 590 covered
UNITED OF OMAHA LIFE INSURANCE COMPANY · life std ltdpremiums n/a · 271 covered
Brokers & agents paid · 20233
GALLAGHER BENEFIT SERVICES, INC.$44,306 · incl $4,086 fees
PFS INSURANCE GROUP, LLC$40
Also brokered by Gallagher5
Prisma Health SC$6,161,180

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Source: DOL Form 5500 Schedule A, plan year 2023, EIN 841436985 · Verify on EFAST2 · Amounts are as reported by the plan sponsor.