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Specific Premium Bordereau
Effective
Policy effective date.
Policy No
Policy number.
Policyholder
Policy holder name.
City
Policy holder city.
St
Policy holder state.
Report Period
Bordereau reporting period.
Census
Census information for each policy coverage.
EE
Employee only.
ES
Employee plus spouse.
EC
Employee plus child.
EF
Employee plus family.
Gross Premium
Total premium for the coverage.
Commission
Commission payout for the coverage.
Carrier Fee
Carrier fee payout for the coverage.
Premium Tax
Tax amount on premium for the coverage.
MGU Fee
Managing General Underwriter Fee payout for the coverage.
Other
Any additional payouts charged against gross premium for the coverage.
Excess Net Layer
Gross premium remaining after all deductions.
Net Premium
Gross premium remaining after all deductions.