SUMMIT STATE BANK

Schedule A lists 6 insured contracts covering health, dental, vision, life and disability; the largest, with KAISER FOUNDATION HEALTH PLAN, INC., covers 104 people.

Reported premium across the insured contracts is $1,374,123, with $97,890 in disclosed broker commissions — about 7.1% of premium.

The most recent policy period ended in December, and the plan year ends December 31. Group contracts typically renew on that annual cycle.

ACRISURE WEST INS SERVICES is the broker of record on 2 of the 6 contracts; the rest name a different broker or none.

5 carriers appear on the filing — KAISER FOUNDATION HEALTH PLAN, INC., CIGNA HEALTH AND LIFE INSURANCE COMPANY, CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES and UNITED OF OMAHA LIFE INSURANCE COMPANY among them — with KAISER FOUNDATION HEALTH PLAN, INC. writing the largest contract by premium.