Medical Stop Loss Accrued Sub-Producer Fees Report Details

Effective

Policy effective date.

Contract No

Contract number.

Policyholder

Policyholder name.

Policyholder state.

Report Period

Period of time covered by the report.

Gross Premium

Gross premium amount.

Percent of premium paid as sub-producer fee.

Sub-Prod

Sub-producer fee. Product of Gross Premium and %.