BCBSMT Booklet with Commssion Report

8/7/2019 BCBSMT Booklet with Commssion Report

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Presented by

Benefit Solutions, Inc.

March 3 rd , 2011


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Table of Contents

1 Overview ..................................................................................................................1

2 Executive Summary ................................................................................................2

3 BSI Service Details ..................................................................................................3

4 Infused with Information Technology ..................................................................12

5 System Security Details........................................................................................22

6 Product Development ...........................................................................................23

7 Advantages............................................................................................................24

8 Implementation......................................................................................................25

9 Conclusion.............................................................................................................26

10 Appendix................................................................................................................27


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- 1 -

1 Overview

Positioned to Partner

With the emergence of Healthcare Reform, businesses of all sizes

are facing escalating challenges. These challenges are beingcompounded by todays increasingly difficult economicenvironment. Businesses are also having to respond tocompetitive, organizational, regulatory and technical obstacles.Navigating this environment may require a shift in strategy, thatcan lead to new opportunities to exploit emerging markets.

Historically many businesses had highly centralized operationalenvironments. While there is still a place for these traditionalsystems, it is often imperative that key business processes andother essential corporate services be strategically outsourced in a

manner that is transparent to the consumer but offers immediateimpact on the bottom line.

Todays economic setting is forcing companies to cut back on theiroperations, reduce capital spending, and focus on their corecompetencies to meet their immediate business objectives.Nearly every industry and marketplace is being reshaped by thedual forces of increased competition and eCommerce, which haveopened the door to new players for goods and services of alltypes.

Commoditization is making it more difficult for companies todifferentiate their goods and services, and easier for customers toswitch vendors. In response to these competitive trends,companies must work harder to retain their existing customersand win new business. In order to overcome these challenges,companies not only need to provide superior products andservices; they must build closer working relationships with theircustomers and key business partners.

BSI offers carrier solutions that can be rapidly deployed with noinitial investment and used for growing membership, increasingcustomer satisfaction and retention, and driving down costs.

PARTNER LIST

AETNA LIFE INSURANCE COMPANY

ALERE INC.

ASURIS NORTHWEST HEALTH

BLUE CROSS BLUE SHIELD OF IDAHO

CONTINENTAL NATIONAL AMERICAN(CNA)

DELTA DENTAL

GROUP HEALTH COOPERATIVE

GUARDIAN INSURANCE COMPANY INC

HEALTH ADVOCATE, INC.

HEALTH NET

KAISER FOUNDATION HEALTH PLAN

KPS HEALTH PLANS

THE LIFEBALANCE PROGRAM

LIFEWISE HEALTH PLAN

MAGELLAN HEALTH SERVICES, INC.

METROPOLITAN LIFE INSURANCE CO.

PACIFICARE LIFE AND HEALTH INS. CO.

PREMERA BLUE CROSS

REGENCE BLUESHIELD

SAV-RX

STANDARD INSURANCE COMPANY

UNUM LIFE INSURANCE COMPANYVISION SERVICE PLAN

WASHINGTON DENTAL SERVICE

WELLSPRING FAMILY SERVICES EAP

WILLAMETTE DENTAL OF WASHINGTON


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2 Executive Summary

Relentless Commitment to Client Success

Benefit Solutions, Inc. (BSI) is a technology and benefit

administration company that was established in 1993. Ouroffice is located in Mukilteo, Washington.

Since the companys inception BSI has provided services to:

27 carriers

18,500 employers

556,000 members

BSI provides high quality consolidated billing, enrollment,eligibility, and customer service, bringing its clients costsavings and efficiencies, so that its clients can focus on theircore competencies and strategic initiatives.

Our business model has been developed and fine-tuned forcarrier outsourcing. It is flexible, scalable, and secure. Weprovide seamless access to the resources and capabilitiesneeded to maximize savings and our services can improveproductivity and customer satisfaction.

BSI has a straightforward mission: Exceed Expectations.When it comes to our clients, we not only want to supporttheir unique mission, but go beyond it.

Our commitment and mission is driven by a philosophy of being a true value added partner. We constantly bring ourclients services that benefit their business. We do this withtimely deployment of proven technology. We then reachfurther by looking for opportunities to grow the scope of services at no additional cost; it is one way we attempt toexceed expectations. We dont nickel and dime for everynew thing we do, because we believe that if something is goodfor our customer, that puts us on the path to exceedingexpectations.

TWO COMPANIES

ONE MISSION

EXCEED

EXPECTATIONS


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3 BSI Service Details

Can Do Attitude with Have Done Experience

Over the past 17 years, BSI has developed its systems to integratewith our industry partners. The all encompassing design of ourbusiness system architecture and proprietary software enables us tooffer outsourcing solutions that can be quickly and effectivelydeployed.

By anticipating growth and planning for change, BSI is uniquelypositioned to assist our partners with speed to market capabilitiesthrough any sales channel.

Experience in Action

BSIs experience indicates that successful strategies for customersupport includes developing a single, comprehensive view of benefit

plan needs with a focus on superior quality, proactively reaching outto customers and bringing them new, market-leading products andservices, and collecting, monitoring, and reporting data for decisionmaking.

BSI Carrier Support:

Enrollment & Eligibility

Consolidated Billing

Eligibility Data Transfer

Broker Commission Reporting and Payment

Scalable & Flexible Multiple Product Platform

Branding & Private Labeling

Cost Effective & All Inclusive Fee Structure

COBRA & CDHP Administration

BSIs Commitment to Blue Cross Blue Shield of Montana:

Establish the foundation you need to grow membership

Provide industry-leading service & technology

Be a dependable partner to all stakeholders

Support and maintain your distribution network

Promote your brand

Rapidly deploy new products, services and features

Streamline operations and reduce administrative costs

OFFERING

THE RIGHT COMBINATION

OF

PRODUCTS

SERVICES

TECHNICAL EXCELLENCE

&

AFFORDABLE PRICING

DIFFERENTIATE

FROM YOUR

COMPETITORS


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- 4 -

Simplify

Enrollment & Eligibility

We manage, implement, and process new groups and renewals. BSI provides enrollment support for new hires, and handles lifeevents and work status changes. All eligibility issues are addressed in accordance with rules based enrollment. (i.e. probationaryperiods, waivers, dependent status, etc.). We manage and process group and employee terminations in accordance with planrules. BSIs eligibility system integrates with our CDHP and COBRA Services.

Consolidated BillingBSI provides consolidated billing, which allows for multiple carriers and coverages to be billed on a single invoice. Coveragetypes include medical, ancillary and voluntary benefits. Enrollment processing, eligibility management, and consolidated billingmake up the primary core of our administrative services.

Eligibility Data Transfer

BSI manages eligibility and sends data via Electronic Data Interchange (EDI) to insurance carriers, vendors, and providers. Weprovide HIPAA compliant 834 eligibility transmissions and custom proprietary data feeds to a host of third parties.

Traditional Administration Services

We offer traditional administration services, from paper based enrollment and eligibility, financial and accounting services,compliance assistance. We act as a liaison between plan partners and vendors. Our services also include the reporting youneed, when you need it, and you can always pick up the phone and call any member of your dedicated account team.

Broker Commission, Reporting, and Payment

Processing prompt and accurate commission payments is a vital service that we offer and can be used to support and maintainyour distribution network. BSI has a long-standing history of assisting brokers with processes related to credentialing,appointments, reporting, and general customer services to ensure all needs are met.

COBRA Administration

BSI provides competent, caring, and timely COBRA administration services. It is our objective to provide former employees witha positive experience throughout the administration of their COBRA benefits. We provide full service administration that keepsregulators, carriers, employers, and employees satisfied.

Consumer Directed Health Plan (CDHP) Administration

Employers may offer Premium Only Plans, Flexible Spending Accounts, Dependent Care Spending Accounts, HealthReimbursement Accounts, Health Savings Accounts, and Transportation Reimbursement Plans. In each case, BSI conductsimplementation, enrollment, debit card issuance, claim adjudication, participant reimbursements, and reporting to the plansponsor and participants.

Online Services

iBSI is our online benefits administration service, designed to streamline the benefits enrollment and premium paymentprocess. It is created, hosted, and maintained by Benefit Solutions, Inc. iBSI requires no additional hardware, software, orsecurity investment, iBSI facilitates the collection, management, and transfer of all the pertinent data that is typically involvedwith benefits administration.


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Broker Services & Benefits - What We Bring To Your Distribution Network

Improved commission payment accuracy and timeliness

Flexibility in responding to broker and client when creativity is required

Branding support

Single source portal reduces broker administrative effort

Immediate opportunity to expand products and services, ultimately resulting in sustainedrevenue stream

Increased group participation and retention

Support that enhances broker's ability to respond to client needs

Reduced in-house administration

Added administrative marketing value that enhances broker value proposition

Valuable on-line census tools available

Possible increase in customer loyalty


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BSI Sample Bill Page 1


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BSI Sample Bill Page 2


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BSI Commission ServicesBenefit Solutions provides our clients with the ability to easily manage complex product distribution channels such asgeneral agents, independent agents, captive agents and those with tiered hierarchy structures. BSI streamlinesadministration by helping onboard, credential, and pay producers, while providing necessary operations and financialperformance reporting. BSI helps businesses not only realize significant hard dollar savings with better control and flexibilityof incentive plans and payments to producers, but also to rapidly onboard new producers, grow producer revenue andmindshare, and ensure long-term producer loyalty.

Commission, Reporting, and Payment

Processing prompt and accurate commission payments is a vital service that we offer and can be used to support andmaintain your distribution network. BSI has a long-standing history of assisting producers everywhere with processesrelated to credentialing, appointments, reporting, and general customer services to ensure all needs are met. The BSI coresystem provides end-to-end commission processing (calculate, process, pay) capabilities with minimal or no manualintervention.

Features

- Management of complex distribution channel relationships.- Track licenses, credentialing, and other required data as appropriate for entire distribution channel.- Ability to process high volumes of transactions.- Workflows to assist with the automation of establishing new agents or agencies or other members of distribution channel.- Ability to terminate/remove an agent or agency from the system if they dont meet specified criteria.- Ability to track agents payments.- Ability to schedule and automate commission statements into format required for view prior to authorization of payment.- Ability to load agent hierarchies e.g. paying one check to an agency that they can split out by agent.- Ability to extract annual tax information in a pre-defined format.- Support tracking of effective & termination dates associated with agents' federal tax ID & other ID numbers, as applicable.

Flexibility -

Able to handle multiple/extensive rules for Commission Payment plans (i.e., percentage of Premiums; Per contract; Tier; Flat Rate)- Able to pay separate agent commissions by line of business for each account (i.e., Medical, Dental, Vision)- Able to calculate commission compensation monthly, quarterly, semi-annually, annually, and ad hoc (as authorized),- Primary' agent indicator.- Able to pay commissions for multiple periods (past and present revenue/enrollment).- Eliminate the need carry over debit balances.- Ability to make authorized retroactive payments.- Able to track effective and termination dates on commission payment plans by account, with the ability to generate automatic

adjustments.- Ability to use system data to model against unlimited variables, not limited solely to commission data elements.

Auditing & Compliance - Static and custom reporting for internal audit requirements.- Able to accurately handle calculations and recalculations (past, present, and future)- Eliminate the need to make manual adjustments.- System stores and maintains history of commission schedule updates. (Versioning)


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BSI Commission Overview


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4 Infused with Information TechnologyMore Than Concept

From its inception, BSI has made technology a priority.Understanding that the question often isn't can you provide a

certain service or product, but rather WHEN can you provide it.From client and partner request to delivery, from concept toreality, BSI's use of rapid application development anddeployment (RADD) tools answers the WHEN question in a waythat ensures committments will be met.

BSI employs RADD for our back-office, desktop, and webdevelopment. BSI adds AJAX to provide data connectivity to thebrowser. Our back-office and desktop applications have beenmaturing for ten years and our web platform is in its 4th year.

BSI's client and partner data is managed by a sophisticated

database engine that allows for access by both SQL and indexedmethods. Optimizing the desktop user experience via indexedaccess and leveraging the heavy-lifting nature of SQL for datacrunching provides applications with just the right mix for eachtype of data access need.

TECHNOLOGY

PROPRIETARY SYSTEM

EXTENSIVE WEB TOOLS

RAPID DEPLOYMENT

IN HOUSE IT STAFF

NO FEE DEVELOPMENT


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iBSI Online Benefits Administration


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BSI Desktop Application


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BSI Desktop Application


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BSI Desktop Aplication


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5 System Security Details

Secure Data CenterCo-location sites offer secure access, redundant power supplies, dual HVAC, and fire detection and prevention systems. Facilities are conditioned with ACand DC power options to meet your power requirements, and we provide 24-hour operations staff. Facilities provide a state-of-the-art data center, whichis manned 24 hours a day, 365 days a year. Industry Standards & Certifications ITIL v3 SAS70 Type II HIPAA Compliancy

Fire Suppression The hosting facility is protected against fire State-of-the-art Halon system Dry-pipe water sprinklers, and hand-held fire extinguishers Smoke/heat activates alarm system

Environmental Controls Precise environmental controls monitor and manage temperature, Audible alarms activate when tolerance levels exceed normal conditions

Bandwidth Redundant access Point to point bandwidth

Security Keycard access is required to reach the managed location floor Keycard & biometric/fingerprint access protects the managed location room Motion-sensor video surveillance monitored 24x7x365 by on-site personnel

Electrical Power UPS (Uninterruptible Power Supply) power distribution systems Diesel generator produces our electricity, guaranteeing availability The generator is tested weekly and full-load tested monthly Special temperature & operational alarms Multiple air conditioning units ensure proper operation

Managed Security Services 24x7 monitoring, management and security event monitoring of server, st orage, and network devices. Managed Security Services Managed Firewall Managed Intrusion Prevention/Detection System (IPS/IDS) Managed Server Managed Networks Managed Storage Managed VPN

Key Features Monitoring of network devices 24x7 Comprehensive change and configuration management Periodic device maintenance, including security /system patches Comprehensive security event monitoring Log data archival for forensics Periodic reporting of events, incidents, changes etc. Quarterly security posture review Fault analysis, incident, and problem management Performance monitoring

Remote Backup Disaster RecoveryEnterprise remote backup services between our data centers. Thesupporting redundant infrastructure provides the opportunity to createmultiple offsite copies of business critical information.

Replication and high availability are used to provide remote disasterrecovery services to our data centers. The s upporting redundantinfrastructure provides the opportunity to create multiple failoverpoints.

Security Bandwidth efficiency Optional local storage appliance Multiple copies of critical data Eliminate remote media handling Secure user self-restore Server image restore 24x7 access to backups and restores 24x7 monitoring to ensure your backups are up-to-date

Rapid recovery Application recovery Failover/Failback Continuous data protection Replica backups Virtualized or dedicated recovery resources Broad client/application support 24x7 monitoring to ensure replication is up to date


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6 Product Development

Innovative & Forward Thinking

BSI pursues new product development to support our clientsneeds and to meet the quickly changing landscape of employee benefits administration.

The following is a summary of some of the many products andplatform features BSI has in development or underconsideration.

BSI Platform Features

Employee Cost Sharing Management Streamlined HR & Payroll System Integration Broker Credentialing Module Integrated with Platform IBSI Online Features

Premium Payment by Debit/Credit Card Broker Support Tools Enhanced Carrier Portal

Access to group level data

Products

Health Care Reform Insurance Shopping Site, Including Determination of

Eligibility for Government Options and Allowing for PlanComparisons

Consumer Engagement Tools

Insurance Voucher Management Subsidy Eligibility Determination & Calculation (Exchange

Tool) Premium Tax Credit Module W-2 Data Reporting Module

Payroll Service Business Intelligence Quoting Module Individual Insurance Market Tools

Online Application Submission Underwriting Support & Customized Reporting

Sales & Marketing Reporting And Data Intelligence Broker Engagement Tools - GeoTarget Phone Apps (iPhone, Blackberry)

SYSTEM / PLATFORM

HR & PAYROLL INTERFACE

CONTRIBUTION TRACKING

SALES & QUOTING

PRODUCTS

HCR TOOLS

PAYROLL SERVICES

BUSINESS INTELLIGENCE

INDIVIDUAL MARKET APPs


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7 Advantages

Heres How Were Different

It is our philosophy, take care of the customer, and everything else will follow. It isthrough our customer relationships, and relentless commitment to their success, that we

have evolved into the unique company that we are today.BSI has enjoyed a 100% client retention rate, and we are confident that BCBS MT willbenefit from our strengths, which include our:

Viability BSI is financially healthy. With the compliance challenges presented byHCR mandates, carriers can benefit greatly by partnering with an administrativeoutsourcing vendor who has the financial strength to continually reinvest in itsinfrastructure in order to remain current and relevant in our rapidly evolvingmarketplace.

Experience BSI has a proven, reliable and extensive track record of successfullydelivering administration solutions to organizations across many industry sectors.Our track record of service delivery and reliable infrastructure are not just theorybut proven.

Flexibility - Technology vendors generally focus on specific business functions,such as an outsourced enrollment & billing platform. BSI goes beyond merelyproviding technology solutions. We offer our experienced, talented staff with aconsistent can-do attitude, supported by BSIs industry leading platform. As ourlandscape transforms, BSI is ready to quickly and easily adapt to meet our clientsneeds.

Scalability Our infrastructure has been carefully developed to support growth.BSI deploys solutions quickly with the goal of delivering the right combination of business and technology solutions to help our clients stay nimble and competitive.

Ability to Integrate/Migrate - We have assisted many of our customers throughsystem upgrades and migrations. Our platform is ready today to support youthrough a system migration, which is an unavoidable component of the technologylifecycle. We are confident that these abilities ensure the greatest ROI for BCBSMT.

Cost Effectiveness BSI provides a simplified fee structure based upon an all

inclusive fee philosophy which allows not only for a predictable cost structure butenhances collaboration and partnership with our clients and key stakeholders.


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8 Implementation

Efficient And Razor-Sharp Execution

BSI does not think, One size fits all. We take a customtailored approach with each individual client, and we have theability to adapt our services to specifically meet your needs.We work hand-in-hand with you to determine the exactproducts, services, and solutions that will produce thegreatest return on investment and client satisfaction, whileensuring workflows that can be consistently delivered anddeployed across your entire enterprise.

Project Management Methodology

Our comprehensive project management that is implementedby a team of seasoned BSI staff members assures that theright approach for each account implementation is achieved,no matter the size:

Success by design: It is our experience that the timeinvested up front to develop a highly detailedimplementation plan results in a clearer understanding of what the end product should be.

Discovery Phase: Review of the products, services, andsolutions identified during the planning phase allowsunderstanding of the details of the tasks and roles and

responsibilities of BCBS MT and BSI participants Workflow Identification: Documenting the technical,

financial and operational tasks to be performed.

Data and Technology: Identifying the data elements,transfer, and security protocols throughout eachworkflow.

Compliance and Controls: Ensuring that all processes havethe necessary controls and data capture mechanisms tocomply with external regulations and internal procedures.

DISCOVERY

IDENTIFY ROLES

DELEGATE TASKS

ESTABLISH TIMELINE

MAINTAIN QUALITY


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9 Conclusion

Positioned to Partner - Two companies, One Mission: Exceed Expectations.

Over the last seventeen years our focus has been this simple.

Industry Leading Service. Our expertise in providing consolidated billing, enrollmentservices and transmission of eligibility from employer to insurance carriers is what wedo. We can accommodate the needs of your customers through sophisticated onlinetools and more traditional "paper" based programs to serve a complete spectrum of member profiles.

Dependable Partner. With a growing roster of medical insurance and other ancillarycarrier relationships, we have excelled in integrating our data with a wide variety of

carrier eligibility systems and a broad array of business processes.

Distribution Channel. Prompt and accurate commission payment and reporting is avital services that we offer and can be used to support and maintain your distributionnetwork.

Marketing and Sales. BSI's unique services can be white labeled and used to extendyour brand. Our services can be rapidly deployed to existing customers to increaseretention while creating a marketing advantage when prospecting for new accounts.

Drive Down Your Costs. BSI provides a fee structure that is based on bringing ourclients efficient and streamlined operations and predictable costs. After all, if we cannotsave resources and help you gain a strategic advantage, we have no reason to exist.

Forward Looking. As we all know, change is constant, and BSI is constantly changing tosupport our clients' needs. However major or minor a change may be, whether it isHealthcare Reform or COBRA changes as mandated by ARRA; Benefit Solutions is on itand your partner in developing and deploying timely products to meet the needs of ourevolving markets.

We are excited about our business and your business too! Thank you for theopportunity to discuss how we can work together.


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10 Appendix

A. New Group Workflow

B. Billing and Payment Workflow

C. Sample Project Implementation Outline


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App


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Appendix B


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Blue Cross Blue Shield Montana Project OutlineCOMPANY INFORMATIONCompany

Name: Blue Cross Blue Shield of Montana

Address: 560 N. Park Avenue PO Box 4309 Helena, MT 59604-4309

Telephonenumber: 1.406.437.5000 or 1.800.447.7828

Website: www.bcbsmt.com

PROJECT OUTLINE

The first phase is the Diagnostic phase. The goal of the Diagnostic phase is to collect information to define a high-levelproject scope. The work that is performed in the Diagnostic phase results in key deliverables, as applicable.Phase I

Diagnostic

- Requirements and Process Review report- Fit and Gap Solution Blueprint report- Proof of Concept

- Architecture Assessment Report- Scoping Assessment

The Analysis phase marks the official start of the implementation project. The activities in the Analysis phase helpidentify the decisions the customer must make that will guide the implementation. Although the deliverables for theAnalysis phase will vary slightly dependant on the project type, they can include:

Phase II Analysis

- Define Project Team & Subject Matter Experts- Project Plan- Timeline with Milestones- Risk Register & Issues List- Change Control Plan- Communications Plan- Training Plan- Future State Business Process Workflows

- Functional Requirements Document (FRD)- Fit Gap Analysis Spreadsheet- Quality & Testing Standards (Test Plan)- Infrastructure Scope Document- Infrastructure Design Document- Integration and Interface Requirements- Data Migration Requirements

This phase consists designing solutions for specific customizations, integrations, and data migration needed to satisfybusiness requirements identified during the Analysis phase. The key objectives to achieve during the Design phase are:

Phase III Design - Core team training

- Update Project Plan & Timeline- Functional & Technical Design- Initial draft of the Solution Design Document

The primary purpose of the Development phase is to develop the customizations, integrations, and data migrationprocesses defined in the design specifications created and approved in the Design phase, and to complete the setup andconfiguration of the standard and non standard solutions. Key deliverables can include: Phase IV

Development

- Training Guides/Documentation- Final Process Models- Final System Configuration- Final Custom Code Development- Data Acceptance, Process and Integration Testing

- Performance & User Acceptance Test Scripts- Production Environment Specification generated- Final Integration and Interface Code Development- Final Solution Design Document (SDD)- Data Migration Testing

The primary deliverable from the Deployment phase is a functioning live system. Activities in this phase prepare theinfrastructure, application environment, and end-users for the cutover to the new system. This may include: Phase V

Deployment

- Prepare Go-Live plans and system test plans- Confirm end-user training plans- Configure the live and test environments- Perform system testing

- Prepare and delivering end-user training- Complete final data migration and validation- Complete all Go-Live activities to launch system- Assign Operations & Support Team

Phase VI Operations

The primary purpose of the Operations phase is to support the customer technically and functionally during the initialGo Live period for the new system. At the end of the phase, the project is transitioned to the customer, and wewelcome the opportunity to provide on-going support and continued account management.

Appendix C

Appendix C


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Association of Washington Business Commisson Reportun Date: 01/12/2011 23:18

age: 14

ProPoint, LLC

PO Box 129Olympia, WA 98507

dividual:Client Name Effective

04533 Luminous Corporation 02/01/2009 Percentage Benefit Type Premium Commission

Eligibility: 01/2011 3.000 Medical................................ 1,116.12 33.483.000 Dental.................................. 366.51 11.003.000 Life...................................... 6.03 0.183.000 Vision.................................. 6.87 0.21

Eligibility Period 01/2011 Totals: 1,495.53 44.87

Luminous Corporation Totals: 1,495.53 44.87

Client Name Effective

03504 Lyon Technical Services, LLC 07/01/2007 Percentage Benefit Type Premium Commission



Lyon Technical Services, LLC Totals: 4,279.83 106.99


03374 MacIlvennie Associates, Inc. 04/01/2007 Percentage Benefit Type Premium Commission

Eligibility: 01/2011 2.500 Medical................................ 1,517.43 37.942.500 Life...................................... 6.96 0.172.500 Vision.................................. 2.88 0.07


MacIlvennie Associates, Inc. Totals: 1,527.27 38.18


03977 Marc Paul MD PC 05/01/2008 Percentage Benefit Type Premium Commission



Marc Paul MD PC Totals: 1,899.40 47.48


04609 McCarthy Sports Seattle, Inc 03/01/2009 Percentage Benefit Type Premium CommissionDBA: Breakaway Sports Eligibility: 01/2011 2.500 Medical................................ 1,031.34 25.78

2.500 Life...................................... 6.03 0.152.500 Vision.................................. 5.74 0.14


McCarthy Sports Seattle, Inc Totals: 1,043.11 26.07Client Name Effective

00849 Millers4, LLC 01/01/2004 Percentage Benefit Type Premium Commission



Millers4, LLC Totals: 2,349.17 88.09


03069 MJW & Associates 08/01/2006 Percentage Benefit Type Premium Commission

Eligibility: 01/2011 3.000 Medical................................ 701.03 21.033.000 Life...................................... 4.54 0.143.000 Vision.................................. 2.88 0.09

BSI Sample Commission Report

Sample Broker HousePO Box 123Sample City, MT 99999

1

Sample Client A

Sample Client A

Sample Client B

Sample Client B

Sample Client C

Sample Client C

Sample Client D

Sample Client D

Sample Client E

Client E USA

Sample Client E

Sample Client F

Sample Client F

Sample Client G


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age: 23

ProPoint, LLC


dividual:Client Name Effective

04292 Velocity Physiotherapy LLC 11/01/2008 Percentage Benefit Type Premium Commission


Eligibility Period 01/2011 Totals: 209.56 5.24

Velocity Physiotherapy LLC Totals: 209.56 5.24


02002 Walton Tool & Manufacturing Co, Inc 07/01/2005 Percentage Benefit Type Premium Commission



Walton Tool & Manufacturing Co, Inc Tota 2,032.65 60.98


03031 WDWillis Asset Management 09/01/2006 Percentage Benefit Type Premium Commission



WDWillis Asset Management Totals: 859.85 25.79


04581 Wicresoft North America Company, Ltd 02/01/2009 Percentage Benefit Type Premium Commission

Eligibility: 12/20103.750 Medical................................ 1,909.85 71.623.750 Dental.................................. 340.39 12.763.750 Life...................................... 8.59 0.323.750 Vision.................................. 6.15 0.23


Eligibility: 01/2011 3.750 Medical................................ 27,150.12 1,018.133.750 Dental.................................. 4,563.02 171.113.750 Life...................................... 202.79 7.603.750 Vision.................................. 81.13 3.04

Eligibility Period 01/2011 Totals: 31,997.06 1,199.88

Wicresoft North America Company, Ltd Tot 34,262.04 1,284.81


03619 William Garvin Law Office 10/01/2007 Percentage Benefit Type Premium Commission



William Garvin Law Office Totals: 692.26 20.77


05566 Xemobi, Inc 01/01/2010 Percentage Benefit Type Premium Commission



Xemobi, Inc Totals: 647.53 24.29

ProPoint, LLC Totals: 328,558.00 10,805.44

dividual: Andrew Summers

BSI Sample Commision Report


SI Sample Commission Report

2

Sample Client G

Sample Client H

Sample Client I

Sample Client J

Sample Client K

Sample Client L

Sample Client L

Sample Client G Total:

Sample Client H Totals:

Sample Client I

Sample Client J Totals:

Sample Client K

Sample Broker House 51,298.20 1,773.5


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age: 43

ProPoint, LLC


dividual: Sue Ellen Knieper Client Name Effective

04292 Velocity Physiotherapy LLC 11/01/2008 Percentage Benefit Type Premium Commission

Eligibility: 01/20112.500 Life...................................... 1.67 0.042.500 Vision.................................. 1.09 0.03


Velocity Physiotherapy LLC Totals: ** 209.56 5.24

Sue Ellen Knieper Totals: 106,092.06 2,652.28

dividual: Winn CodyClient Name Effective

04609 McCarthy Sports Seattle, Inc 03/01/2009 Percentage Benefit Type Premium CommissionDBA: Breakaway Sports Eligibility: 01/2011 2.500 Medical................................ 1,031.34 25.78

2.500 Life...................................... 6.03 0.152.500 Vision.................................. 5.74 0.14


McCarthy Sports Seattle, Inc Totals: ** 1,043.11 26.07

Winn Cody Totals: 1,043.11 26.07

ProPoint, LLC Totals: 623,446.58 16,427.87

BSI Sample Commision ReportBSI Sample Commission Report


Sample Broker House

3

John Doe Broker

John Doe Broker

Sample Client G

2.500 Medical.............................. 206.80 5.1

Sample Client E

Client E USA

Sample Client E

Jane Doe Broker

Jane Doe Broker

John Doe Broker

Sample Client G

209.56 5.2

52,550.87 1,804.87

BCBSMT Booklet with Commssion Report

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